Introduction of Oral Diet on Stevens-Johnson Syndrome—Case Report

Introduction: The Stevens-Johnson Syndrome is a severe immune reaction after the use of medications. It is characterized by fever and rashes.

Objectives: To characterize swallowing alterations and analyze the introduction of oral feeding in a patient with Stevens-Johnson syndrome.

Resume/Report: Patient admitted in the intensive care unit with rashes, inflammation of the oral mucosa, purulent conjunctivitis, and nasogastric tube. We observed alterations the mobility and strength of the lips, tongue, and jaw, spontaneous saliva swallowing, laryngeal elevation preserved, and hypernasal resonance. The evaluation of swallowing was done with liquid in the syringe. There was delay for triggering the swallowing reflex and absence of clinical signs of penetration or laryngeal aspiration. The liquid diet was the first to be released. With the improvement of erythema and inflammation of the oral mucosa, the patient was able to eat semisolids.

Conclusion: This patient had mechanical dysphagia with involvement in the preparatory and oral phases of swallowing. The liquid diet was the first to be released. It became possible to progress the diet until solid consistency due the improvement of rashes and mucous membranes.