Minocycline-induced drug reaction with eosinophilia and systemic symptoms (DRESS) masquerading as acute leukemia.

ABSTRACT: Drug reaction with eosinophilia and systemic symptoms (DRESS) is an idiosyncratic drug reaction characterized by fever, rash, and lymphadenopathy associated with atypical lymphocytosis and eosinophilia. Visceral organ involvement is also seen and hence it often mimics hematolymphoid malignancies. A 19-year-old girl presented with generalized pruritic rash, fever, lymphadenopathy, and lymphocytosis. Subsequently, she developed respiratory distress with a fall in SpO2. Flow cytometry, bone marrow studies, and infectious workup were normal. Skin biopsy and clinical assessment criteria established the diagnosis of DRESS secondary to minocycline intake. Discontinuation of the offending drug is most important to abet the hypersensitivity reaction. Visceral organ involvement requires the use of steroids and immunosuppressive agents. Our patient responded well to treatment and is presently symptom-free and on follow-up for the last 6 months.

Auto-correlations of microscopic density fluctuations for Yukawa fluids in the generalized hydrodynamics framework with viscoelastic effects.

The present work develops a theoretical procedure for obtaining transport coefficients of Yukawa systems from density fluctuations. The dynamics of Yukawa systems are described in the framework of the generalized hydrodynamic (GH) model that incorporates strong coupling and visco-elastic memory effects by using an exponentially decaying memory function in time. A hydrodynamic matrix for such a system is exactly derived and then used to obtain an analytic expression for the density autocorrelation function (DAF)-a marker of the time dynamics of density fluctuations. The present approach is validated against a DAF obtained from numerical data of Molecular Dynamics (MD) simulations of a dusty plasma system that is a practical example of a Yukawa system. The MD results and analytic expressions derived from the model equations are then used to obtain various transport coefficients and the latter are compared with values available in the literature from other models. The influence of strong coupling and visco-elastic effects on the transport parameters are discussed. Finally, the utility of our calculations for obtaining reliable estimates of transport coefficients from experimentally determined DAF is pointed out.