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Title: Red herring in returned traveler: drug reaction with eosinophilia and systemic symptom (DRESS) syndrome mimicking sepsis.
Austin Authors: Lim, Hui Yin;Huang, Gene Khai Lin;Torresi, Joseph ;Johnson, Douglas F
Affiliation: Department of General Medicine, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 28-Aug-2014
Publication information: Journal of Travel Medicine 2014; 21(6): 425-8
Abstract: We report a case of a 51-year-old Han Chinese recently returned traveler, who was admitted with a generalized maculopapular rash, fevers, shock, and multi-organ failure. Extensive investigations failed to reveal an infective cause. Skin biopsy findings together with the recent commencement of allopurinol raised a diagnosis of drug reaction with eosinophilia and systemic symptom syndrome. High-dose prednisolone was commenced and the patient made a rapid recovery. This case highlights that not all sepsis-like presentations in returned travelers are due to infective causes and that severe drug reactions need to be considered in the differential diagnosis.
Gov't Doc #: 25345985
DOI: 10.1111/jtm.12152
Type: Journal Article
Appears in Collections:Journal articles

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