Use of the lymphocyte transformation test in the diagnosis of DRESS syndrome induced by ceftriaxone and piperacillin-tazobactam : two case reports

Drug-related rash with eosinophilia and systemic symptoms (DRESS) syndrome, or drug-induced hypersensitivity syndrome (DIHS), is a life-threatening multiorgan systemic reaction characterized by rash, fever, lymphadenopathy, hepatitis, and leukocytosis with eosinophilia. Aromatic anticonvulsant drugs and allopurinol have been reported to be the most frequent eliciting agents. Our search of the literature revealed only 2 cases induced by piperacillin and 1 case by ceftriaxone.We present 2 cases of DRESS syndrome induced by the beta-lactam drugs ceftriaxone and piperacillin-tazobactam. An allergological workup including skin prick test, intradermal tests, patch tests, and lymphocyte transformation test (LTT) was performed. LTT was shown to be a useful technique in both cases to help to identify the drugs involved.

Medienart:

Artikel

Erscheinungsjahr:

2010

Erschienen:

2010

Enthalten in:

Zur Gesamtaufnahme - volume:20

Enthalten in:

Journal of investigational allergology & clinical immunology - 20(2010), 5 vom: 28., Seite 433-6

Sprache:

Englisch

Beteiligte Personen:

Jurado-Palomo, J [VerfasserIn]
Cabañas, R [VerfasserIn]
Prior, N [VerfasserIn]
Bobolea, I D [VerfasserIn]
Fiandor-Román, A M [VerfasserIn]
López-Serrano, M C [VerfasserIn]
Quirce, S [VerfasserIn]
Bellón, T [VerfasserIn]

Themen:

157044-21-8
75J73V1629
87-53-6
Adrenal Cortex Hormones
Anticonvulsants
Beta-Lactams
Case Reports
Ceftriaxone
Histamine Antagonists
Journal Article
Penicillanic Acid
Piperacillin
Piperacillin, Tazobactam Drug Combination
Research Support, Non-U.S. Gov't
X00B0D5O0E

Anmerkungen:

Date Completed 16.02.2011

Date Revised 01.12.2018

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM202364658