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

Ashok Kumar Pannu; M B Adarsh; Navneet Sharma

doi:10.4103/ijccm.IJCCM_397_16

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

Indian J Crit Care Med. 2017 Apr;21(4):229-231. doi: 10.4103/ijccm.IJCCM_397_16.

Authors

Ashok Kumar Pannu¹, M B Adarsh¹, Navneet Sharma¹

Affiliation

¹ Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Abstract

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.

Keywords: Drug rash with eosinophilia and systemic symptoms; LEMDS; multi-organ dysfunction; tropical fever.

Publication types

Case Reports