Acute Liver Injury in the setting of Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Syndrome with Cocaine as suspected culprit agent: A case report.

Acute liver injury Cocaine Drug reaction with eosinophilia and systemic symptoms syndrome Eosinophilia

Journal

Clinics and research in hepatology and gastroenterology
ISSN: 2210-741X
Titre abrégé: Clin Res Hepatol Gastroenterol
Pays: France
ID NLM: 101553659

Informations de publication

Date de publication:
11 2022
Historique:
received: 13 07 2022
revised: 14 09 2022
accepted: 15 09 2022
pubmed: 21 9 2022
medline: 10 11 2022
entrez: 20 9 2022
Statut: ppublish

Résumé

Drug Reaction with Eosinophilia and Systemic Response (DRESS) syndrome is a rare hypersensitivity reaction characterized by rash, fever, lymphadenopathy, and visceral involvement. The liver is frequently involved in DRESS, with increased liver enzymes and hepatomegaly. Over 40 drugs have been implicated in the induction of DRESS, however other illicit substances have also been linked to this. Prompt identification of this syndrome is imperative for management. We report the case of patient presenting with acute liver injury and eosinophilia, who developed a rash meeting criterion for DRESS, with Cocaine as the suspected culprit agent, and was successfully treated with conservative measures.

Identifiants

pubmed: 36126865
pii: S2210-7401(22)00157-7
doi: 10.1016/j.clinre.2022.102023
pii:
doi:

Substances chimiques

Cocaine I5Y540LHVR

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

102023

Informations de copyright

Copyright © 2022 Elsevier Masson SAS. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Renato Beas (R)

Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States.

Jonathan Montrose (J)

Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States.

Eleazar Montalvan-Sanchez (E)

Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States.

James Jaewoo Baek (JJ)

Indiana University School of Medicine, Indianapolis, IN, United States.

Ahmad Mahmoud Alkashash (AM)

Department of Pathology, Indiana University School of Medicine, IN, United States.

Marwan Ghabril (M)

Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States; Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States. Electronic address: mghabril@iu.edu.

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Classifications MeSH