ISSN: 2155-9554
+44 1478 350008
Keisuke Kobayashi
Japan
Case Report
A Case of Drug-Induced Hypersensitivity Syndrome with Recurrent Varicella
Author(s): Sakiko Shimura, Makiko Ueno, Kazuaki Ito, Keisuke Kobayashi and Kazumoto Katagiri
Sakiko Shimura, Makiko Ueno, Kazuaki Ito, Keisuke Kobayashi and Kazumoto Katagiri
Drug-induced hypersensitivity syndrome (DIHS) is attributed to immunodeficiency caused by certain drugs. Herein, we report a patient with DIHS due to recurrent varicella caused by reactivation of the varicella-zoster virus (VZV). The patient was a 39-year-old woman, who had started oral carbamazepine treatment for trigeminal neuralgia eight weeks before developing a high-grade fever and dark red plaques appearing over the entire body. She was diagnosed as having DIHS with liver dysfunction, atypical lymphocytes in peripheral blood, and lymphadenopathy. Oral administration of prednisolone at 50 mg/day was started and then tapered to 40 mg/day 13 days after the onset. Vesicles and blisters with bleeding in part subsequently appeared sporadically on the trunk and limbs. At that time, anti-VZV-IgM and VZV IgG antibody titers exceeded the normal ranges, and the patient was thus considered .. View More»
DOI:
10.4172/2155-9554.1000379