Discussion
DRESS is commonly characterized by a cutaneous eruption, eosinophilia, and visceral organs involvement, the liver is the visceral organ most commonly affected. Only 10% of cases present atypical with normal eosinophil count [1]. Antimicrobials (especially penicillin and sulfonamides) are the main cause [2]. DRESS syndrome can be life-threatening and poses a diagnostic predicament considering its atypical presentations. Most patients recover entirely within weeks or months of stopping the medication [3].