O.I. GOLUBTSOVA¹, N.P. ANDREEVA², T.I. PETROVA², L.A. GERASIMOVA¹, I.A. SKVORTSOVA¹, O.N. SERGEEVA¹, L.A. KOTSURAK¹, L.A. NIKOLAEVA²

¹Republican Children’s Clinical Hospital of the Ministry of Health of the Chuvash Republic, 27 Gladkova Str., Cheboksary, Russian Federation, 428020

²Chuvash State University named after I.N. Ulyanov, 15 Moskovsky Ave., Cheboksary, Russian Federation, 428015 

Golubtsova O.I. — Cand. Med. Sc., Head of the Department of Pulmonology and Allergology, tel. (8352) 55-02-53, e-mail: vakcina2007@mail.ru

Andreeva N.P. — Cand. Med. Sc., Associate Professor of the Department of Pediatrics and Pediatric Surgery, tel. (8352) 56-31-72, e-mail: NataliUTT@ya.ru

Petrova T.I. — D. Med. Sc., Professor of the Department of Pediatrics and Pediatric Surgery, tel. (8352) 56-31-72, e-mail: ptiprop@mail.ru

Gerasimova L.A. — pulmonologist of the Department of Pulmonology and Allergology, tel. (8352) 55-01-26, e-mail: rdkb@med.cap.ru

Skvortsova I.A. — allergist-immunologist of the Department of Pulmonology and Allergology, tel. (8352) 55-01-26, e-mail: rdkb@med.cap.ru

Sergeeva O.N. — allergist-immunologist, tel. (8352) 55-01-26, e-mail: rdkb@med.cap.ru

Kotsurak L.A. — pulmonologist of the Department of Pulmonology and Allergology, tel. (8352) 55-01-26, e-mail: rdkb@med.cap.ru

Nikolaeva L.A. — Assistant of the Department of Childhood Diseases, tel. (8352) 56-31-72, e-mail: doctornicolaeva@ya.ru

The article presents a clinical case of the Stevens ― Johnson syndrome formation on the background of the treatment of severe community-acquired pneumonia. The characteristic of anamnestic, clinical, laboratory data of the patient is given. The reasons for the formation of severe toxic-allergic reactions on the background of the treatment of community-acquired pneumonia are considered. The article presents treatment regimen that included an intense infusion, disintoxication, antibacterial therapy, anti-inflammatory local therapy, provision of a hypoallergenic diet. The observed case illustrates the possibility of developing a rare, in relation to other adverse reactions, complication of antibiotic therapy. The attention is paid to the existence of a low awareness of physicians with regard to etiopathogenesis and clinical symptoms of the rare manifestations of drug allergy.

Key words: community-acquired pneumonia, Stevens ― Johnson syndrome, allergy.

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