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Injection Calpol (Paracetamol), tab Nimesulide, cap Mox    (Amoxicillin), tab Avil and cough syrup.

4. He gave oral instruction to stop the medicines and report immediately if any untoward reaction occurs.  Afterwards the complainant never came to the 2nd opposite party. All the rest of the allegations are denied. The allegation of exchange of medicine for injection is false. He has sought for compensatory cost of Rs.10,000/-.

5. The evidence adduced consisted of the testimony of PWs 1 to 4, Exts.P1 to P9.

9. PW2 is the skin specialist of the MedicalMissionHospital has stated that at the time of admission the condition of the patient was very serious. There was high temperature and the skin was found pealed. There were rashes all over the body.  Himself and the Physician examined her. It was found to be drug allergy.  There was high temperature and secondary infection was suspected. He has stated that it was not a natural disease.  It was drug reaction. As there was infection also the condition had aggravated. He has stated that so far he has not came to know the reaction of paracetamol injection. The onset of the reaction would depend on the capacity of resistance of the patient as well as nature of the drug. It may be sudden or may take weeks. She was administered blood transfusion and antibiotics. He has also stated that the condition was diagnosed as Steven Johnson syndrome. It can result in even cardiac problems. The secondary infection can also cause reactions.

13. The documents produced with respect to the treatment at Covenant Hospital and NSS Medical Mission Hospital and the evidence of PWs 2 and 3 doctors prove that the complainant suffered from Erythema multiforme major (Stevens Johnson syndrome) which can even be fatal and cosmetically much damaging especially as the complainant is a young woman. Both PWs 2 and 3 has mentioned that it was drug reaction. It is a reaction pattern particularly to certain individuals. It is a most severe mucosal skin disease characterized by signs and symptoms remniscent of serum sickness. Reaction to certain drugs like Sulphonamides, penicillins, barbiturates, carbamazepine, Phenytoin and non steroidal anti inflammatory drugs (NSAIDs) are the most common drugs implicated in Stevens Johnson syndrome and toxic, epidermal, necrolysis, (Cecil, Text Book of Medicine, Volume II p 2471). Any agent involving the particular drug group ie Sulphonamites, NSAIDs, Anti convulsants, such as phenytoin should be considered a potential offender (Current Medical Diagnosis and Treatment-2006 edited by Lawrance.M.Tierney Jr etc. pp 122, 123). The presence of blisters is prominent in cases of Stevens Johnson syndrome. Although the 2nd opposite party doctor has mentioned in the version that it was paracetamol injection. Tab Nimesulide and cap Mox, tab Avil and cough syrup that was administered the opposite parties have not produced the relevant records. It is pertinent to note that PW1 has deposed that the complainant was taken to two other hospitals who did not agree to treat her and directed him to take her to the same hospital where the treatment was given earlier. As to how the 2nd opposite party recollected the details of medicines prescribed to the complainant is not evident. If there were records of the drug that was injected the same ought to have been produced. There is nothing to show that the hospitals that treated the complainant were aware of the nature of the drug that was injected on the complainant. The same would have helped in the treatment of the complainant. Evidence adduced would show that the complainant was in a serious state of affairs. The attitude of the staff of the opposite party hospital as testified to by PW1 and has mentioned in the complaint is really unhelpful. It is the case of the complainant that she was taken to the residence of the 2nd opposite party and also to that of the 1st opposite party doctor/Managing Director of the hospital.