Trimethoprim-Sulfamethoxazole-Induced Drug Reaction With Eosinophilia and Systemic Symptoms (DRESS) Complicated by Acute Liver Failure.

Autor:	Hindosh N; Internal Medicine, St. Luke's University Health Network, Easton, USA., Kotala R; Internal Medicine, St. Luke's University Health Network, Easton, USA., Nguyen K; Internal Medicine, St. Luke's University Health Network, Easton, USA., Pintor A; Internal Medicine, St. Luke's University Health Network, Easton, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Oct 29; Vol. 14 (10), pp. e30852. Date of Electronic Publication: 2022 Oct 29 (Print Publication: 2022).
DOI:	10.7759/cureus.30852
Abstrakt:	Drug reaction with eosinophilia and systemic symptoms (DRESS) is a delayed adverse drug reaction that is characterized by fever, cutaneous manifestation, enlarged lymph nodes, hematologic abnormalities, and organ involvement. Multiple medications have been reported to cause DRESS with the presentation varying from drug to drug. Some cases are mild and can be managed by stopping the causative agent along with supportive measures; however, other cases can lead to multi-organ failure requiring systemic corticosteroids and organ transplant. Acute liver failure is a rare manifestation of DRESS. We report a patient who had recently completed a course of trimethoprim-sulfamethoxazole and presented with low-grade fever, diffuse skin rash, eosinophilia, elevated liver enzymes, acute kidney injury, and thrombocytopenia. DRESS was subsequently diagnosed based on history, physical examination, and relatively negative workup for an alternate diagnosis. The patient eventually showed improvement with steroid therapy without the need for a liver transplant. Due to its pharmacogenetic susceptibility, it is essential to recommend avoiding the causative medication for the patient's family members. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Hindosh et al.)
Databáze:	MEDLINE
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