DRESS Syndrome Associated with Carbamazepine and Cytomegalovirus Viral Reactivation
DOI:
https://doi.org/10.3166/rea-2018-0007Keywords:
Bundles, Septic shock, Early goal-directed therapy, Fluid administration, Surviving Sepsis Campaign, VasopressorsAbstract
Drug-induced hypersensitivity or drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a severe skin adverse drug reaction induced by a limited number of drugs. DRESS syndrome occurs within 1–8 weeks of the treatment. In this article, we have reported two cases of two patients who developed a DRESS syndrome associated with carbamazepine and cytomegalovirus reactivation. All symptoms have been resolved after drug withdrawal and treatment with corticoids and ganciclovir. Through these two observations and after review of the literature, we have discussed the clinical aspects, pathophysiology, and treatment of the DRESS syndrome in this article.