Evidence map›Paper›PMID 41561248›Full record

ArticleCureus2025

A Complex Diagnostic Challenge of Dual Antibiotic-Induced Drug Reaction With Eosinophilia and Systemic Symptoms (DRESS) Syndrome With Multiorgan Involvement.

Bola Habeb, Christopher Wright, Mina Motakhaveri, Erica S Thomson, Matthew Fowler

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Bola HabebInternal Medicine, Florida State University College of Medicine/Ascension Sacred Heart, Pensacola, USA.
Christopher WrightInternal Medicine, Florida State University College of Medicine/Ascension Sacred Heart, Pensacola, USA.
Mina MotakhaveriInternal Medicine, Florida State University College of Medicine/Ascension Sacred Heart, Pensacola, USA.
Erica S ThomsonInternal Medicine, Florida State University College of Medicine/Ascension Sacred Heart, Pensacola, USA.
Matthew FowlerInternal Medicine, Florida State University College of Medicine/Ascension Sacred Heart, Pensacola, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a serious, immune-mediated hypersensitivity condition marked by cutaneous eruptions, fever, hematologic abnormalities, and involvement of multiple organ systems. We report a case of DRESS syndrome precipitated by IV vancomycin and minocycline, presenting with fever, diffuse morbilliform rash, marked eosinophilia, transaminitis, and acute kidney injury. The diagnostic process was challenging because of overlapping features between infectious and autoimmune etiologies, necessitating careful clinical correlation, medication review, and application of the Registry of Severe Cutaneous Adverse Reactions (RegiSCAR) criteria. Early recognition enabled prompt discontinuation of the offending agents and initiation of systemic corticosteroids, resulting in gradual improvement in hepatic and renal function. This case underscores the need to maintain a heightened clinical suspicion for DRESS syndrome in patients treated with high-risk antibiotics. It reinforces the importance of prompt recognition and coordinated multidisciplinary care to reduce the risk of lasting organ injury.

Indexed as

drug-induced liver injury (dili)drug-induced transaminitisdrug reaction with eosinophilia and systemic symptoms (dress) syndromeeosinophiliafever with rashminocycline reactionskin biopsy punchsystemic steroidsvancomycin-induced dress syndrome

Identifiers

PMID41561248
PMCPMC12815282

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.