system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 30-year-old man who was recently placed on TMP-SMX for a urinary tract infection presents to urgent care with a new rash. The vital signs include: blood pressure 121/80 mm Hg, pulse 91/min, respiratory rate 18/min, and temperature 36.7°C (98.2°F). Physical examination reveals a desquamative skin covering both of his lower extremities. A basic chemistry panel reveal sodium 139 mmol/L, potassium 3.8 mmol/L, chloride 110 mmol/L, carbon dioxide 47, blood urea nitrogen 23 mg/dL, creatinine 0.9 mg/dL, and glucose 103 mg/dL. Which of the following is the most likely diagnosis?
assistant
Toxic epidermal necrolysis (TEN)