Sulfonamides ELISA Kit

Toxic epidermal necrolysis (TEN) is a severe mucocutaneous adverse reaction characterized by extensive necrosis and epidermal detachment involving more than 30% of the body surface area (BSA). It is commonly triggered by antiepileptics, sulfonamide antibiotics, and non-steroidal anti-inflammatory drugs. A 22-year-old female without any underlying medical history presented with painful multiple erythematous bullae and plaques of varied sizes throughout the body for 1 day. On the second hospitalization day (HD), the bullae progressively coalesced, leading to epidermal detachment involving 60% of the BSA. On the fifth HD, the patient had a tonic-clonic seizure with eyeball deviation for 5 minutes. She was transferred to the intensive care unit (ICU) and administered lorazepam 4 mg and levetiracetam 1,500 mg. Brain computed tomography, magnetic resonance imaging, and cerebrospinal fluid examination showed no abnormalities. Although the patient had delirium and additional seizures while in the ICU, her condition improved without any complications after 5 weeks of inpatient treatment. Several complications of TEN such as dehydration, malnutrition, sepsis, and ophthalmic and pulmonary complications have been reported; however, seizures have not been reported yet. Herein, we report a case of seizure in a patient during treatment for TEN.

The occurrence, temporal variation, and spatial variation of antibiotics in coastal bays and estuaries worldwide are not well documented or understood. Fifteen target antibiotics within the five classes of beta-lactams, amphenicols, macrolides, fluoroquinolones, and sulfonamides were measured during the summer and winter in the water of Jiaozhou Bay in China, which is a semi-enclosed urbanized bay. Fourteen antibiotics (excluding tylosin) were detected, thus demonstrating the widespread occurrence of their residues in the bay. The total antibiotic concentration ranged from 71.8 ng L-1 to 840 ng L-1 for the estuarine water, which was significantly higher than that for the bay water (38.7-181 ng L-1). The antibiotic classes in the bay water were dominated by fluoroquinolones and beta-lactams, which accounted for nearly 90% of the total antibiotic concentration. In addition, amoxicillin contamination was the most prominent among the 14 detected antibiotics as it accounted for similar to 44% of the total antibiotic concentration. The concentrations of amoxicillin, leucomycin, enrofloxacin, and sulfamonomethoxine in the bay water were usually higher than those reported for coastal bays and estuaries worldwide. The average total antibiotic concentration in the bay water was 84.7 ng L-1 during the summer, which was significantly lower than that during the winter (129.0 ng L-1). This was mainly due to high dilution by runoffduring the summer. The florfenicol concentration in the bay water was significantly higher during the summer than in winter due to its higher usage in aquaculture during the summer. Spatially, the total antibiotic concentration (both summer and winter) was higher in the water along the eastern coast of the bay, where the population and hospital densities are high. However, the sum of the veterinary antibiotic concentrations was higher in the northeastern aquaculture area of the bay during the summer. A risk assessment revealed that amoxicillin and enrofloxacin could pose high risks (risk quotient of > 1) to algae in the bay. The synergic effects of pharmaceutical mixtures and the bioaccumulation of antibiotics through the food web should be considered in future studies. (C) 2020 Elsevier Ltd. All rights reserved.