Steven johnson fined why so serious

We also ordered tests for parasites in stool Graham test , for Legionella pneumoniae antigen in urine, for Chlamydia pneumoniae, Chlamydia psittaci, Coxiella burnetii antiphase I and II antibodies in serum, as well as Ziehl-Neelsen stains of sputum x2 ; all results were negative. The skin biopsy gave results that were characteristic of erythema multiforme, supporting the initial clinical diagnosis and ruling out staphylococcal scalded skin syndrome.

Approximately a quarter of community-acquired pneumonias are caused by microorganisms responsible for atypical pneumonia, mainly M. After an incubation period of 2 to 3 weeks, a clinical picture of atypical pneumonia may develop associated or not with other infections of the upper respiratory tract and ear, such as tracheitis, bronchitis, myringitis and otitis, that may also be attributable directly to M.

The etiologic diagnosis is usually made through serum testing using complement-fixation techniques or ELISA. High fevers and cold symptoms are present and two or more mucosa are involved, with corresponding symptoms: conjunctival injection, photophobia, odynophagia, pruritus, dysuria, etc.

Diagnosis is based on clinical presentation and confirmed by skin biopsy, although the cause of infection must be confirmed serologically.

The seriousness of Stevens-Johnson syndrome is evident in the speed with which it takes hold and the extension of skin necrosis, together with frequently developing complications such as dehydration, prerenal acute renal failure, interstitial pneumonitis, adult respiratory distress syndrome, and particularly, septic shock from overlying infection. The last complication is the most frequent cause of death in patients with Stevens-Johnson syndrome.

We would like to thank the staff of the serious burns unit and the departments of ophthalmology, dermatology, and microbiology at our hospital for their interest in teaching us and for their clinical support.

Correspondence: Dr. Modesto Alapont. Hospital Universitario La Fe. Campanar, E-mail: manumalap ono. Received for publication November 20, Accepted for publication December 12, ISSN: Open Access Option. Previous article Next article.

Issue 8. Pages August More article options. Download PDF. Modesto Alapont a , S. Reyes Calzada a , E.

Nauffal Manzur a. This item has received. Article information. Generalized cutaneous exanthema consisting of pruritic red erythematous plaques with papulovesicular eruptions at their center bullous target lesions on the patient's back..

Mucopurulent conjunctivitis and oral mucositis.. Show more Show less. Stevens-Johnson syndrome is characterized by generalized exanthema associated with high fever, catarrhal symptoms and mucositis. Various etiologies have been implicated, particularly numerous medications and certain agents of atypical pneumonia.

We describe the case of a year-old woman with bilateral atypical pneumonia accompanied by severe generalized exanthema that required hospitalization in the serious burns unit of our hospital. She was diagnosed with Stevens-Johnson syndrome following atypical pneumonia caused by Mycoplasma pneumoniae with microbiological and pathological confirmation.. Atypical pneumonia. Palabras clave:. Full Text. Introduction Complicated pneumonia is a serious disease with high morbidity and mortality, and Stevens-Johnson syndrome, though sometimes also related to other causes, may be its most dramatic complication, clinically speaking.

Clinical observations We describe the case of a year-old woman who went to the emergency room complaining of fever and general health deterioration. Severe adverse cutaneous reactions to drugs.. N Engl J Med, , pp. Philadelphia: Churchill Livingstone. Philadelphia: Churchill Livingstone, , pp. Community-acquired pneumonia in adults: guidelines for management.. Clin Infect Dis, 26 , pp.

Ambulatory patients with community-acquired pneumonia: the frequency of atypical agents and clinical course.. Am J Med, , pp. The clinical spectrum and diagnosis of Mycoplasma pneumoniae infection.. QJM, 58 , pp. NFL players are entertainers within the game of football. What SJ did was not part of the entertainment.

This is ludicrous! The player was trying to send a message to the NFL that we the fans can all understand. I say they should make excessive celebration be penalized and fined even, depending on the celebration. To make some quick points, exactly, the Bills have had a bad year, but why not have fun. No point in taking the fun out of the game anymore than they already have.

You must be logged in to leave a comment. Not a member? Register now! This site uses Akismet to reduce spam. Learn how your comment data is processed. Cant the players work these silly fines out in the new CBA?? Are you kidding me? For a little shenanigans? The NFL is a joke. Learn to revel in life a little…. Why so freaking serious?