Evidence map›Paper›PMID 42245845›Full record

ArticleCureus2026

Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis Overlap Induced by Trimethoprim/Sulfamethoxazole: A Case Report.

Guilherme Kenzo Shimizu Saito, Gabriela Mendes da Costa Manteli, Beatris Pinheiro Dos Santos, Lucas Garrafoni Pessotti, Stefany Laura Messias, Lara Cordeiro de Faria, Juliana Adachi, Andréa Paula Peneluppi de Medeiros

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Guilherme Kenzo Shimizu SaitoDepartment of Internal Medicine, Hospital Municipal Universitário de Taubaté, Taubaté, BRA.
Gabriela Mendes da Costa ManteliDepartment of Internal Medicine, Hospital Municipal Universitário de Taubaté, Taubaté, BRA.
Beatris Pinheiro Dos SantosDepartment of Internal Medicine, Hospital Municipal Universitário de Taubaté, Taubaté, BRA.
Lucas Garrafoni PessottiDepartment of Internal Medicine, Hospital Municipal Universitário de Taubaté, Taubaté, BRA.
Stefany Laura MessiasDepartment of Internal Medicine, Hospital Municipal Universitário de Taubaté, Taubaté, BRA.
Lara Cordeiro de FariaDepartment of Internal Medicine, Hospital Municipal Universitário de Taubaté, Taubaté, BRA.
Juliana AdachiDepartment of Internal Medicine, Hospital Municipal Universitário de Taubaté, Taubaté, BRA.
Andréa Paula Peneluppi de MedeirosDepartment of Preventive Medicine, Hospital Municipal Universitário de Taubaté, Taubaté, BRA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) overlap is a rare, potentially life-threatening cutaneous hypersensitivity reaction that requires prompt recognition and appropriate treatment. Drug-induced hypersensitivity reactions are commonly associated with medications such as antimicrobials, anticonvulsants, and nonsteroidal anti-inflammatory drugs. This case report describes an 18-year-old female patient who was prescribed trimethoprim/sulfamethoxazole for asymptomatic bacteriuria in a primary care setting, despite the absence of a clear clinical indication, and subsequently developed SJS/TEN overlap with epidermal detachment involving 20% of the body surface area. The patient improved after withdrawal of the offending agent and intensive supportive management and was discharged after 22 days of hospitalization. This case highlights the importance of early diagnosis and immediate drug discontinuation to improve outcomes.

Indexed as

clinical dermatologydrug-related side effects and adverse reactionsstevens-johnson syndrome (sjs)toxic epidermal necrolysis (ten)trimethoprim-sulfamethoxazole

Identifiers

PMID42245845
PMCPMC13231831

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.