Stevens-Johnson syndrome associated with cytomegalovirus infection in a child with ependymoma

Maria João Cruz1, Alberto Mota, Teresa Baudrier

  • 1Department of Dermatology and Venereology, Hospital de São João, Porto, Portugal.

Abstract

Insights

Stevens-Johnson syndrome (SJS) in children is rare and often drug-induced. This case highlights a potential link between SJS and cytomegalovirus (CMV) infection, successfully treated with IVIG and gancyclovir.

Area of Science:

  • Pediatric Infectious Diseases
  • Dermatology
  • Clinical Case Reports

Background:

  • Stevens-Johnson syndrome (SJS) is a severe, acute hypersensitivity reaction with significant epidermal and mucosal involvement.
  • While often drug-induced, infectious agents are increasingly recognized as triggers, particularly in pediatric cases.
  • Prompt recognition and management are crucial for improving patient outcomes.

Observation:

  • A 2-year-old boy with posterior fossa ependymoma developed SJS.
  • The SJS was strongly suspected to be associated with a cytomegalovirus (CMV) infection.
  • The patient received high-dose intravenous immunoglobulin (IVIG) and gancyclovir.

Findings:

  • This case represents the first reported instance of SJS associated with CMV infection.
  • Successful treatment was achieved with a combination of IVIG and gancyclovir.
  • The findings suggest CMV as a potential, albeit rare, cause of SJS in children.

Implications:

  • Highlights the importance of considering infectious etiologies, including CMV, in pediatric SJS cases.
  • Suggests IVIG and gancyclovir as a potential therapeutic strategy for SJS linked to CMV.
  • Underscores the need for further research into the role of viral infections in SJS pathogenesis.

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