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Drug rash with eosinophilia and systemic symptoms (DRESS) syndrome is an acute, severe, unpredictable cutaneous reaction to drugs leading to skin eruptions and visceral involvement. The characteristic features include a diffuse maculopapular rash, facial edema, exfoliative dermatitis, fever, lymphadenopathy, visceral involvement (renal impairment, carditis, pneumonitis), hematological abnormalities. It occurs with numerous drugs (e.g., anticonvulsants, sulphonamides, and allopurinol). DRESS with beta-lactam antibiotics has been also reported. Ceftriaxone, a cephalosporin is used for variety of infections. This drug is known to be associated with rare and mild side-effects such as urticaria, skin rash, diarrhea, vomiting, transient neutropenia, and hemolysis. However, ceftriaxone-induced DRESS is rare...
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