DRESS Syndrome Associated with Liposomal Amphotericin-B in a Kidney Transplant Patient : A Case Report

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INTRODUCTION: Liposomal amphotericin B is a widely used broad-spectrum antifungal drug. It was developed to reduce nephrotoxicity and maximize the therapeutic utility of amphotericin B in the treatment of invasive fungal infections. Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) syndrome is a severe drug-induced hypersensitivity syndrome commonly associated with aromatic antiepileptic drugs. Liposomal amphotericin-B was associated with DRESS syndrome in only one case.

CASE REPORT: We report an exceptional case of possible DRESS syndrome associated with liposomal amphotericin B in a 31-year-old male renal transplant recipient. Seventeen days after starting liposomal amphotericin B for visceral leishmaniosis, he developed a skin rash with elevated liver tests. Liposomal amphotericin B was then discontinued. A favourable outcome was slowly observed in one month.

RESULTS AND CONCLUSION: This case scored two (possible case) based on the criteria adopted by the European group RegiSCAR. The Naranjo score for liposomal amphotericin B was four (possible).

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

Current drug safety - 18(2023), 2 vom: 25., Seite 264-266

Sprache:

Englisch

Beteiligte Personen:

Charfi, Ons [VerfasserIn]
Hammamia, Syrine Ben [VerfasserIn]
Aouinti, Imen [VerfasserIn]
Kaabi, Widd [VerfasserIn]
Kastalli, Sarrah [VerfasserIn]
Daghfous, Riadh [VerfasserIn]
El Aidli, Sihem [VerfasserIn]
Lakhoua, Ghozlane [VerfasserIn]
Zaiem, Ahmed [VerfasserIn]

Links:

Volltext

Themen:

7XU7A7DROE
Adverse drug reaction
Amphotericin
Amphotericin B
Antifungal Agents
Case Reports
DRESS syndrome
Drug hypersensitivity syndrome
Leishmaniosis
Liposomal amphotericin B
Pharmacovigilance

Anmerkungen:

Date Completed 09.03.2023

Date Revised 09.03.2023

published: Print

Citation Status MEDLINE

doi:

10.2174/1574886316666210727145646

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM328600865