Dress syndrome with sepsis, acute respiratory distress syndrome and pneumomediastinum

Autor: Prabhas Prasun Giri, Swapan Roy, Sukanta Bhattyacharya, Priyankar Pal, Sandipan Dhar
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Indian Journal of Dermatology, Vol 56, Iss 6, Pp 763-765 (2011)
Druh dokumentu: article
ISSN: 0019-5154
1998-3611
DOI: 10.4103/0019-5154.91850
Popis: Drug rash with eosinophilia and systemic symptoms (DRESS) syndrome reflects a serious hypersensitivity reaction to drugs, and is characterized by skin rash, fever, lymph node enlargement, and internal organ involvement. So far, numerous drugs such as sulfonamides, phenobarbital, sulfasalazine, carbamazepine, and phenytoin have been reported to cause DRESS syndrome. We report a case of a 10-year-old girl who developed clinical manifestations of fever, rash, lymphadenopathy, hypereosinophilia, and visceral involvement (hepatitis and pneumonitis) after taking phenobarbital for seizures, with subsequent development of sepsis, acute respiratory distress syndrome (ARDS) and spontaneous air leak syndrome (pnemothorax and pneumomediastinum). She was put on steroids and various antibiotics and was ventilated, but ultimately succumbed to sepsis and pulmonary complications.
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