Not all febrile critical illness with rash is infective: Drug reaction may be a mimic

We report a case of ciprofloxacin-related drug rash with eosinophilia and systemic symptoms (DRESS) which was initially diagnosed and managed on the line of tropical fever. Later, a diagnosis of definite case of DRESS was made according to the RegiSCAR scoring system and the patient was managed with...

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Bibliographic Details
Published in:Indian journal of critical care medicine 2017-04, Vol.21 (4), p.229-231
Main Authors: Pannu, Ashok Kumar, Adarsh, M B, Sharma, Navneet
Format: Article
Language:English
Subjects:
Blood diseases
Case Report
Dyspnea
Edema
Fever
Hematology
Hepatitis
Leptospirosis
Skin
Tropical diseases
Typhus
Urine
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Summary:We report a case of ciprofloxacin-related drug rash with eosinophilia and systemic symptoms (DRESS) which was initially diagnosed and managed on the line of tropical fever. Later, a diagnosis of definite case of DRESS was made according to the RegiSCAR scoring system and the patient was managed with the removal of ciprofloxacin along with steroids. DRESS is a great masquerader. The diagnosis should be highly suspected in the presence of fever, skin rash, liver involvement, and hypereosinophilia.
ISSN:0972-5229
1998-359X
DOI:10.4103/ijccm.IJCCM_397_16