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13 June 2025 : Case report  USA

Accelerated Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Syndrome in Response to TMP-SMX: A Case Report

Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Rare disease, Adverse events of drug therapy, Clinical situation which can not be reproduced for ethical reasons

Emily J. Sanchez ABCDEF 1*, Elizabeth A. Cheiky ABCDF 1

DOI: 10.12659/AJCR.948217

Am J Case Rep 2025; 26:e948217

Table 1 Patient laboratory values from the Emergency Department (ED).

TestFirst ED visitSecond ED visitDischarge from EDReference range
Red blood cells (10/mcL)4.224.22
Hemoglobin (g/dL)13.212.812.1
Hematocrit (%)39.138
White blood cells (10/L)
Eosinophils (%)
Neutrophils (%)73.954.634.1
Platelet count (10/L)315
Alanine aminotransferase (units/L)19
Aspartate transaminase (units/L)10
Blood urea nitrogen (mg/dL)161216
Creatinine (mg/dL)0.94
Alkaline phosphatase (units/L)71
Estimated glomerular filtration rate (mL/min)
Sodium (mmol/L)139139
Potassium (mmol/L)4.34
Calcium (mg/dL)9
Chloride (mmol/L)104107
Random glucose (mg/dL)9698
Albumin (g/dL)3.7
Columns are organized by test and displayed as first visit to the Emergency Department (ED), second visit to the ED, and at time of discharge from ED. This table compares various laboratory tests at different time points throughout the case report. Reference ranges for laboratory tests are based off the specific test at the institution in which the patient was seen. Numbers highlighted in indicate differences to the reference range.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923