Drug Reaction, Eosinophilia, and Systemic Symptoms (DRESS) Syndrome As a Mimicker of Spinal Infection: Awareness for Spinal Surgeons

Drug reaction, eosinophilia, and systemic symptoms (DRESS) syndrome is a delayed severe drug hypersensitivity (type IVb) syndrome with cutaneous eruption, hematological abnormalities, and multi-organ involvement. The wide spectrum of the disease manifestations, long-term sequelae, and high mortality...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-04, Vol.12 (4), p.e7503
Main Authors: Mohammed, Riaz, Panikkar, Shrijit, Elmalky, Mahmoud
Format: Article
Language:English
Subjects:
Allergies
Antibiotics
Biopsy
Blood diseases
Blood tests
Case reports
Dermatology
Edema
Hematology
Infections
Infectious Disease
Legs
Liver
Mortality
Neurosurgery
Orthopedics
Pathology
Patients
Side effects
Viral infections
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Summary:Drug reaction, eosinophilia, and systemic symptoms (DRESS) syndrome is a delayed severe drug hypersensitivity (type IVb) syndrome with cutaneous eruption, hematological abnormalities, and multi-organ involvement. The wide spectrum of the disease manifestations, long-term sequelae, and high mortality rates are a clinical concern. Though not commonly reported in spinal surgery patients, the use of long-term antibiotics is a potential causative agent in spinal infections. DRESS syndrome can mimic systemic spinal infections, and clinical diagnosis requires high awareness and extreme vigilance. Prompt recognition and appropriate action can mitigate the potential poor outcomes and improve patient prognosis.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.7503