Not all febrile critical illness with rash is infective: Drug reaction may be a mimic

Ashok Kumar Pannu, MB Adarsh, Navneet Sharma

Indian Journal of Critical Care Medicine 2017 21(4):229-231

We report a case of ciprofloxacin-related drug rash with eosinophilia and systemic symptoms (DRESS) which was initially diagnosed and managed on the line of tropical fever. Later, a diagnosis of definite case of DRESS was made according to the RegiSCAR scoring system and the patient was managed with the removal of ciprofloxacin along with steroids. DRESS is a great masquerader. The diagnosis should be highly suspected in the presence of fever, skin rash, liver involvement, and hypereosinophilia.

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