Case Report

A Case of Drug Reaction with Eosinophilia and Systemic Symptoms

Table 2

Naranjo score for the likelihood of an adverse drug reaction.

YesNoUnknown

(1) Previous conclusive reports on this reaction1
(2) Did the adverse event appear after suspected drug given? 2
(3) Did the adverse reaction improve when the drug was discontinued or a specific antagonist given?1
(4) Did the adverse reaction appear when the drug was readministered?0
(5) Are there alternative causes that could have caused the reaction?−1
(6) Did the reaction reappear when a placebo was given?0
(7) Was the drug detected in any body fluid in toxic concentrations?0
(8) Was the reaction more severe when the dose was increased or less severe when decreased?0
(9) Did the patient have a similar reaction to the same or similar drugs in any previous exposure?0
(10) Was the adverse event confirmed by any objective evidence?1

Final score: >9 Definite ADR; 5–8 probable ADR; 1–4 possible ADR; <0 doubtful ADR.