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DRESS and Ischemic Stroke

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DRESS (drug rash eosinophilia and systemic symptomps) is a life threatening condition characterized by skin rash, fever, leucocytosis with eosinophilia or atypical lymphocytosis, lymphadenopathy, and internal organ involvement. This case report would like to describe an interesting case of DRESS coincidence with ischemic stroke.
A 38 year old woman had been admitted with skin rash and fever since four days before. Four weeks before admission she received antibiotic and multivitamin for one week. The patient looked ill, with body temperature 38.0oC Marked physicaljindings were cervicallymphadenopathy and hepatomegaly. Dermatological examination jin ding was generalized exanthema. Laboratory evaluation showed leucocytosis, eosinophilia, and increased level of ALT and AST During hospitalization the patient also suffered from ischemic stroke.
Treatments administered in this patient were oxygen, adequate intravenous fluid, parenteral nutrition, methyl prednisolone, cethirizin bid, ranitidin bid, and antibiotic. The antibiotic treatment in this case was performed with graded challenge or test dosing.
Key words: DRESS, ischemic stroke, test dosing.

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Ketersediaan

Informasi Detail

Judul Seri

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No. Panggil

Acta Medica Indonesiana: The Indonesian Journal of

Penerbit

Jakarta : FK Universitas Kristen Indonesia., 2012

Deskripsi Fisik

6p

Bahasa

ISBN/ISSN

0125-9326

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Tipe Media

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Tipe Pembawa

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Edisi

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