Kapur Ajita, Rehan Harmeet Singh
Department of Pharmacology, Lady Hardinge Medical College and Associated Hospitals, New Delhi 110001, India.
Curr Drug Saf. 2019;14(3):249-251. doi: 10.2174/1574886314666190307150757.
Among the first line Anti-Tubercular Drugs (ATDs), ethambutol has been rarely associated to cause drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome.
A 34-year-old woman presented in an out-patient department of Dermatology with fever, skin eruptions, eosino- philia, hyperinflated lung fields and deranged liver enzymes after 35 days of the initiation of ATDs. The patient recovered completely after stopping ethambutol and administration of topical and sys- temic corticosteroids.
Based on the available evidences of de-challenge and re-challenge of suspected drugs, ethambutol was certainly implicated to cause DRESS syndrome.