<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1137-6627</journal-id>
<journal-title><![CDATA[Anales del Sistema Sanitario de Navarra]]></journal-title>
<abbrev-journal-title><![CDATA[Anales Sis San Navarra]]></abbrev-journal-title>
<issn>1137-6627</issn>
<publisher>
<publisher-name><![CDATA[Gobierno de Navarra. Departamento de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1137-66272019000100012</article-id>
<article-id pub-id-type="doi">10.23938/assn.0586</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de DRESS en el diagnóstico diferencial de las complicaciones postquirúrgicas]]></article-title>
<article-title xml:lang="en"><![CDATA[DRESS syndrome, a differencial diagnosis in late postoperative complications]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casal-Beloy]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Novoa]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-González]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rey Simó]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Complejo Hospitalario Universitario de A Coruña Servicio de Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Complejo Hospitalario Universitario de A Coruña Servicio de Cirugía General y del Aparato Digestivo ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>42</volume>
<numero>1</numero>
<fpage>89</fpage>
<lpage>92</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1137-66272019000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1137-66272019000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1137-66272019000100012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El síndrome de DRESS (reacción de sensibilidad a medicamentos con eosinofilia y síntomas sistémicos) es una farmacodermia grave que debe ser conocida para instaurar un tratamiento óptimo precoz, evitando así una evolución sistémica y potencialmente letal. Las farmacodermias son la tercera causa de efectos adversos en las plantas de hospitalización quirúrgica, precedida por las infecciones nosocomiales y las complicaciones intraoperatorias. La mayoría de los casos suponen un reto diagnóstico para el cirujano, ya que su debut es inespecífico y, por tanto, son fácilmente confundibles con una complicación derivada de una cirugía reciente. Presentamos el caso de un varón de 54 años, sano y sin antecedentes personales, intervenido en dos ocasiones por sangrado abdominal espontáneo que tres semanas después de la última cirugía, y coincidiendo con la toma de metamizol oral, desarrolló un síndrome de DRESS. El deterioro inicial inespecífico, característico de este síndrome, motivó el retraso diagnóstico y terapéutico del paciente, y la consecuente evolución hacia la afectación sistémica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The DRESS syndrome (drug rash with eosinophilia and systemic symptoms) is a serious pharmacodermia which must be taken into account when establishing an optimal early treatment to prevent a systemic and potentially lethal evolution. Pharmacodermias are the third most frequent cause of adverse effects during surgical hospitalization, after nosocomial infections and intraoperative complications. In most cases, they pose a challenge to the surgeon, since their onset is nonspecific and, therefore, can be easily mistaken for a surgery complication. We present the case of a 54-year-old man, healthy and without relevant background, who was operated on two times due to spontaneous abdominal bleeding. Three weeks after the last surgery, and coinciding with the administration of oral metamizole, the patient developed a DRESS syndrome. The initial unspecific deterioration, characteristic of this syndrome, is the main cause of the delay in diagnosis and correct treatment, causing the resulting evolution to systemic affectation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome de DRESS]]></kwd>
<kwd lng="es"><![CDATA[Exposición farmacológica]]></kwd>
<kwd lng="es"><![CDATA[Hipersensibilidad a fármacos]]></kwd>
<kwd lng="en"><![CDATA[Drug-induced hypersensitivity syndrome]]></kwd>
<kwd lng="en"><![CDATA[Hypersensitivity]]></kwd>
<kwd lng="en"><![CDATA[Drug hypersensitivity reactions]]></kwd>
<kwd lng="en"><![CDATA[Drug exposure]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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