# Nursing care for a patient with intracerebral hemorrhage complicated with toxic epidermal necrolysis: a case report

**Authors:** Doudou Zhang, Qiuping Zhang, Hanhua Li, Wen Lai, Pingyun Chen

PMC · DOI: 10.3389/fmed.2025.1587979 · Frontiers in Medicine · 2025-07-18

## TL;DR

This case report describes the nursing care of a patient with intracerebral hemorrhage and toxic epidermal necrolysis, focusing on preventing infections.

## Contribution

The paper presents a detailed nursing care approach for a rare combination of intracerebral hemorrhage and toxic epidermal necrolysis.

## Key findings

- The patient's skin healed and infection indicators decreased with targeted nursing interventions.
- No secondary infections occurred during the patient's hospital stay.
- The patient was successfully transferred for surgery and later to a rehabilitation hospital.

## Abstract

This study summarizes the nursing care for a patient with intracerebral hemorrhage complicated with toxic epidermal necrolysis, focusing on infection prevention and control. Advanced health assessment showed that the primary nursing issue was a high risk of infection. Nursing interventions were implemented to prevent and control infection in various systems, emphasizing four key aspects: respiratory management after tracheostomy, lumbar cistern drainage care, skin management, and nutritional support. The patient’s skin healed, infection indicators decreased, and no secondary infections occurred. On the 24th day after admission, the patient was transferred to the neurosurgery department for ventriculoperitoneal shunt surgery. The patient was transferred to a rehabilitation hospital 21 days after surgery.

## Linked entities

- **Diseases:** intracerebral hemorrhage (MONDO:0013792), toxic epidermal necrolysis (MONDO:0019810)

## Full-text entities

- **Diseases:** toxic epidermal necrolysis (MESH:D013262), intracerebral hemorrhage (MESH:D002543), infection (MESH:D007239)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12313555/full.md

## References

25 references — full list in the complete paper: https://tomesphere.com/paper/PMC12313555/full.md

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Source: https://tomesphere.com/paper/PMC12313555