DRESS syndrome in a patient with cystic fibrosis: A case report

Pediatr Pulmonol. 2017 Apr;52(4):E18-E21. doi: 10.1002/ppul.23567. Epub 2016 Oct 14.

Abstract

Drug reaction with eosinophilia and systemic symptom (DRESS) syndrome is a rare and severe side-effect, mainly described after intake of anticonvulsants, allopurinol, or antibiotics. It usually begins within 2 months after drug introduction. Symptoms include cutaneous rash, hematologic abnormalities, and internal organ involvement and the diagnosis might be challenging. This case report illustrates for the first time this life-threatening complication in a patient with cystic fibrosis (CF). In this case, withdrawal of the offending drug was sufficient for full recovery. Clinicians involved in CF care should be aware of DRESS syndrome, as they commonly prescribe several potentially culprit drugs. Pediatr Pulmonol. 2017;52:E18-E21. © 2016 Wiley Periodicals, Inc.

Keywords: DRESS syndrome; case report; cystic fibrosis; drug reactions.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / adverse effects*
  • Cystic Fibrosis / complications*
  • Cystic Fibrosis / diagnostic imaging
  • Diagnosis, Differential
  • Drug Hypersensitivity Syndrome / complications
  • Drug Hypersensitivity Syndrome / diagnosis*
  • Drug Hypersensitivity Syndrome / diagnostic imaging
  • Eosinophilia / complications
  • Eosinophilia / diagnosis*
  • Eosinophilia / diagnostic imaging
  • Humans
  • Male
  • Rifampin / adverse effects*
  • Young Adult

Substances

  • Anti-Bacterial Agents
  • Rifampin