Anesthetic Management of Atypical Toxic Epidermal Necrolysis in a Six-Month-Old Patient Undergoing Burn Surgery: A Case Report.
Cureus May 1, 2025 Cassidy Chau, Anthony Q Dang, Thong Nguyen
Toxic epidermal necrolysis (TEN) is a rare, life-threatening skin condition causing widespread skin detachment and mucous membrane damage. A six-month-old male with atypical TEN was transferred from a hospital in Mexico to a US facility, presenting with widespread full-thickness necrotic wounds but no bullae or sloughing. The unclear diagnosis made anesthetic planning challenging due to the need for prolonged intubation after extensive burn debridement and grafting. This case report emphasizes perioperative assessment, induction strategy, airway management, resuscitation, and pain control for atypical TEN patients.