Demas Nicholas, Shaikh Mohammad Baseem
University of Kentucky College of Medicine Lexington Kentucky USA.
Divison of Internal Medicine, University of Kentucky College of Medicine University of Kentucky Lexington Kentucky USA.
Clin Case Rep. 2024 Oct 21;12(10):e9487. doi: 10.1002/ccr3.9487. eCollection 2024 Oct.
This case demonstrated with importance of recognizing DRESS syndrome presenting without the typical eosinophilia due to possible cross-reactivity between amoxicillin and the well-documented inciting medication lamotrigine. Steroid tapering is an effective treatment, but medication avoidance should be stressed to avoid symptom recurrence.
该病例表明,认识到由于阿莫西林与已充分记录的诱发药物拉莫三嗪之间可能存在交叉反应,导致药物超敏反应伴嗜酸性粒细胞增多和系统症状(DRESS)综合征在无典型嗜酸性粒细胞增多的情况下出现的重要性。逐渐减少类固醇剂量是一种有效的治疗方法,但应强调避免使用药物以防止症状复发。