We present the first published case of raltegravir-associated drug-reaction with eosinophilia and systemic symptoms (DRESS) syndrome in a child without characteristic human leukocyte antigen haplotypes HLA-B*57:01 or HLA-B*53:01. A 4-year-old African American female with perinatally acquired human immunodeficiency virus infection was hospitalized for DRESS after starting a raltegravir-based antiretroviral regimen.
Keywords: antiretroviral therapy; drug-reaction with eosinophilia and systemic symptoms syndrome; human immunodeficiency virus; human leukocyte antigen-B alleles; raltegravir.
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