Ros M M, Delsing C E
Medisch Spectrum Twente, afd. Interne geneeskunde-infectieziekten, Enschede.
Ned Tijdschr Geneeskd. 2017;161:D1118.
A 55-year-old woman with fever, a rash and elevated liver enzymes was diagnosed with drug reaction with eosinophilia and systemic symptoms (DRESS). After treatment with high-dose prednisolone and withholding carbamazepine, all symptoms resolved completely. This case emphasises the importance of recognizing a drug-related cause of fever and rash other than infectious causes.
一名55岁女性,伴有发热、皮疹和肝酶升高,被诊断为药物超敏反应伴嗜酸性粒细胞增多和全身症状(DRESS)。在接受大剂量泼尼松龙治疗并停用卡马西平后,所有症状完全缓解。该病例强调了识别除感染性原因外发热和皮疹的药物相关原因的重要性。