Medical teams at the Tula Regional Hospital acted decisively to save a patient facing Lyell syndrome, a severe allergic reaction that can escalate rapidly without prompt, expert care. The incident has been shared by the hospital on VK alongside clinical notes describing the course of treatment and the patient’s recovery.
The patient, a 28-year-old man, arrived at the intensive care unit with signs that pointed toward a life-threatening skin and organ reaction. Medical staff quickly evaluated him and recommended a transfer to the regional specialized unit for severe dermatologic and systemic cases. Lyell syndrome, also known as toxic epidermal necrolysis in many medical circles, presents with a painful rash, widespread skin peeling with minimal friction, and potential injury to vital organs including the heart, liver, and kidneys. Early recognition is crucial, because the condition carries significant risk of sepsis, fluid imbalance, and respiratory complications. The transfer to a higher level of care was aimed at providing continuous monitoring, specialized wound care, and organ support when needed.
The patient’s symptoms emerged after a recent acute respiratory viral infection and included a painful rash with blisters, fever reaching up to 39 degrees Celsius, and lesions affecting the eyes and oral mucosa. In the hands of an experienced resuscitation and pulmonary care team, the patient’s condition stabilized, and life-saving interventions were implemented promptly. Close collaboration among intensivists, surgeons, and dermatology specialists helped to manage fluid balance, skin care, pain, and infection risk while supporting the patient through a critical phase of the illness.
According to the head of the Department of Chest Diseases at the regional hospital, Arsen Basilaya, the center treats a wide range of respiratory and allergic conditions. He noted that while more than a thousand patients are discharged from the department each year, only a small subset presents with severe, widespread skin damage linked to allergic reactions. He stressed that the hospital’s capacity for these complex cases relies on dedicated beds and specialized personnel within the chest diseases department, ensuring that all gravely ill patients and related complications are managed there. This structured approach reflects the hospital’s commitment to high-level care for serious allergic and dermatologic emergencies within the region.
In the update on the patient’s status, clinicians confirmed that there was no prior predisposition to Lyell syndrome. After stabilization, the patient was discharged home in stable condition, with recommendations for follow-up care and monitoring to detect any potential late effects or recurrences. The medical team emphasized ongoing observation and outpatient support to ensure full recovery and to mitigate future risks associated with severe allergic reactions and skin disorders.
In parallel, there were mentions of unrelated cases locally, including reports from Cheboksary about a different medical condition involving a tumor with unusual features. These notes illustrate the broader scope of medical work conducted in regional facilities, where teams address a wide spectrum of disorders that require multidisciplinary collaboration and careful clinical judgment. (Attribution: regional health press updates)