Use of a synthetic skin membrane (Biobrane ^® ) in a paediatric patient with toxic epidermal necrolysis: looking beyond the burn

A ten-year-old previously healthy girl became acutely unwell with fever and abdominal pain. She was initially treated with paracetamol and ibuprofen. The following day she developed a pruritic, maculopapular rash on her torso and limbs. A suspected diagnosis of Kawasaki's disease was made, and she was given a single dose of intravenous immunoglobulin. She was also started on aspirin, ceftriaxone and aciclovir. The next day she developed painful...