Rash Associated with Dabigatran Skin Necrosis Induced by Generic Enoxaparin Serotonin Syndrome with Concomitant Use of Tapentadol and Venlafaxine Etanercept-lnduced Henoch-Schonlein Purpura Vemurafenib-Associated Pancreatitis

摘要

A 59-year-old male was admitted to the hospital and diagnosed with new-onset atrial flutter 10 weeks following a successful bilateral lung transplant. The patient was discharged in normal sinus rhythm, but during cardiac rehabilitation the patient's atrial flutter returned. The patient was then started on dabigatran etexilate (Pradaxa) 150 mg twice daily for anticoagulation with an elective cardioversion to follow. For unknown reasons, the patient never initiated dabigatran therapy. The patient was hospitalized shortly thereafter with symptomatic heart failure; during the course of this hospital stay, dabigatran etexilate 150 mg twice daily was started. Five days later, the patient noticed a diffuse, nonpruritic rash on his trunk and lower extremities.