The study assessed the relationship between exposure to stress and posttraumatic symptoms among nurses and physicians in a Jendouba general hospital. Hospital staff who were exposed to stress were assessed for posttraumatic stress disorder. High levels of stress symptoms were found in physicians and nurses. Logistic regression analysis showed that nurses had an increased risk for posttraumatic stress disorder factors characterized by negative behavior to patient, increased workload excessive ambiguity and role conflict and the lack of free. These findings showed that nurses suffered from more severe posttraumatic symptoms compared to physicians after exposure to prolonged stress. The gap between physicians and nurses warrants further study.
Drug Reaction with Eosinophilia and Systemic Symptom (DRESS) is a severe adverse drug-induced reaction. Diagnosing DRESS is specifically complicated due to the multiplicity of organs involved. The main culprit drugs are carbamazepine and allopurinol, even though almost 50 drugs have been described to have caused this syndrome. We describe a case of a 34-year old woman admitted to our hospital with acute diffuse, pruritic rash associated with cramp abdominal pain, and fever seven days after starting non-steroidal anti-inflammatory drugs (ibuprofen). Investigation revealed leukocytosis, eosinophilia, and elevated serum transaminases. The diagnosis of DREES syndrome was made, ibuprofen was stopped, and systemic corticotherapy was prescribed with gradually improvement of the rash and symptoms resolution. The patient was discharged home after three weeks of hospitalization.
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