Reactivation of Human Herpes Virus-6 in the Renal Tissue of a Patient with Drug-induced Hypersensitivity Syndrome/Drug Rash with Eosinophilia and Systemic Symptoms (DIHS/DRESS).

Published on Jul 1, 2016in Internal Medicine1.005
· DOI :10.2169/INTERNALMEDICINE.55.6287
Hideharu Hagiya13
Estimated H-index: 13
(Okayama University),
Masaya Iwamuro17
Estimated H-index: 17
(Okayama University)
+ 4 AuthorsFumio Otsuka35
Estimated H-index: 35
(Okayama University)
Sources
Abstract
A 74-year-old man who had been administered trimethoprim-sulfamethoxazole for three weeks suffered from drug-induced hypersensitivity syndrome/drug rash with eosinophilia and systemic symptoms (DIHS/DRESS). In the early stage of the clinical course, he developed renal dysfunction. A renal biopsy showed granulomatous tubulointerstitial nephritis accompanying the proliferation of human herpes virus (HHV)-6 in tubular epithelial cells. With corticosteroid therapy, the systemic rash and renal function gradually improved. The present patient is the second case of DIHS/DRESS demonstrating a possible reactivation of HHV-6 in the renal tissue. The clinical role of viral reactivation in DIHS/DRESS must be further elucidated.
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