Not all febrile critical illness with rash is infective: Drug reaction may be a mimic
Ashok K Pannu, M. B. Adarsh
Keywords :
Drug rash with eosinophilia and systemic symptoms, LEMDS, multi-organ dysfunction, tropical fever
Citation Information :
Pannu AK, Adarsh MB. Not all febrile critical illness with rash is infective: Drug reaction may be a mimic. Indian J Crit Care Med 2017; 21 (4):229-231.
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.
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