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阿莫西林和拉莫三嗪诱发的药物超敏反应伴嗜酸性粒细胞增多和系统症状综合征:一例报告。

Amoxicillin and lamotrigine-induced DRESS syndrome: A case report.

作者信息

Demas Nicholas, Shaikh Mohammad Baseem

机构信息

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.

出版信息

Clin Case Rep. 2024 Oct 21;12(10):e9487. doi: 10.1002/ccr3.9487. eCollection 2024 Oct.

DOI:10.1002/ccr3.9487
PMID:39434770
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11491681/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/11491681/2cd7f4c0ab2d/CCR3-12-e9487-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/11491681/f6139ddddd9d/CCR3-12-e9487-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/11491681/fe496e74388f/CCR3-12-e9487-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/11491681/b936c2af6a9f/CCR3-12-e9487-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/11491681/2cd7f4c0ab2d/CCR3-12-e9487-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/11491681/f6139ddddd9d/CCR3-12-e9487-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/11491681/fe496e74388f/CCR3-12-e9487-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/11491681/b936c2af6a9f/CCR3-12-e9487-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/11491681/2cd7f4c0ab2d/CCR3-12-e9487-g001.jpg

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本文引用的文献

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Allergy Asthma Clin Immunol. 2023 Oct 25;19(1):92. doi: 10.1186/s13223-023-00848-6.
2
Management and treatment outcome of DRESS patients in Europe: An international multicentre retrospective study of 141 cases.欧洲中毒性表皮坏死松解症伴嗜酸性粒细胞增多和全身症状患者的管理与治疗结果:一项对141例病例的国际多中心回顾性研究。
J Eur Acad Dermatol Venereol. 2023 Apr;37(4):753-762. doi: 10.1111/jdv.18808. Epub 2022 Dec 19.
3
Amoxicillin-clavulanate induced DRESS syndrome masquerading as red man syndrome.
阿莫西林-克拉维酸诱发的药物超敏反应综合征伪装成红人综合征。
J Family Med Prim Care. 2022 Jul;11(7):3992-3995. doi: 10.4103/jfmpc.jfmpc_2073_21. Epub 2022 Jul 22.
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Drug-Induced Hypersensitivity Syndrome (DIHS)/Drug Reaction With Eosinophilia and Systemic Symptoms (DRESS): Clinical Features and Pathogenesis.药物诱导的超敏反应综合征(DIHS)/伴嗜酸性粒细胞增多和全身症状的药物反应(DRESS):临床特征和发病机制。
J Allergy Clin Immunol Pract. 2022 May;10(5):1155-1167.e5. doi: 10.1016/j.jaip.2022.02.004. Epub 2022 Feb 15.
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Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome caused by first-line antituberculosis drugs: Two case reports and a review of the literature.由一线抗结核药物引起的药物反应伴嗜酸性粒细胞增多和全身症状(DRESS)综合征:两例病例报告及文献复习。
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