The shot was administered to students at several schools in the West Java Province as part of the government’s national immunization program. No other children reported having severe problems, but shortly after receiving the vaccine, the young Syadiah came down with a fever and began complaining of joint pain. A health care provider gave her paracetamol syrup and an “unknown powdered medicine.” But the little girl’s health continued to fail. She started developing rashes over her body and blisters broke out on her skin, lips, tongue and gums. She was admitted to the hospital and diagnosed with SJS.

SJS is a severe adverse reaction to medication that affects about one in a million people each year. There are as many as 200 medications linked to SJS, most commonly antibiotics, anti-inflammatory medicines such as ibuprofen, anti-viral medications such as those for HIV/AIDS, and anti-seizure medicines. As the condition progresses, skin can peel off leaving the body susceptible to infection and possibly even death.

A health official in Depok debunked the notion that medical malpractice is to blame for the girl’s SJS. He is concerned that media coverage of the adverse reaction may scare people from having their children immunized.

“The media’s focus on the wrong reasons behind [Syadiah’s] condition could put the nation in greater danger,” he said.

SOURCE: Stevens Johnson Syndrome › Girl suffers SJS after receiving tetanus shot

Intelence is a tablet available only by prescription. It is a type of anti-HIV medicine called a non-nucleoside reverse transcriptase inhibitor (NNRTI), also known as a non-nuke. It is used to control HIV infection in adults and must be used in conjunction with other HIV medications. Intelence is for patients who have previously received treatment for HIV-1 and showed resistance to NNRTIs and protease inhibitors.

The clinical trials revealed that Intelence does carry a slight risk for serious skin reactions such as Stevens Johnson Syndrome (SJS), hypersensitivity reaction and erythema multiforme.

More than 200 medications have been linked to SJS and its more severe form, toxic epidermal necrolysis (TEN), most commonly ibuprofen, antibiotics and anti-seizure medications. SJS and TEN are severe expressions of a simple rash known as erythema multiforme. As the condition worsens, the rashes blister over causing the skin to peel off. Mucus membranes, such as the mouth and eyes, can blister over causing dehydration, infection, blindness and even death.

Patients taking medication, including Intelence, should be aware of the potential life-threatening risk of SJS/TEN

SOURCE: Stevens Johnson Syndrome › HIV treatment linked to slight risk of SJS/TEN