The coexistence of hemophagocytic syndrome and DRESS syndrome that develops in the course of sepsis in an elderly patient in intensive care unit

Sepsis is one of the leading causes mortality in intensive care units. Its increases, 
 especially with high number comorbidities and immunosuppression. Hemophagocytic syndrome an uncontrolled cytokine storm that develops course increased inflammatory conditions such as sepsis. The clinical picture very wide; because nonspecific symptoms. For this reason; to diagnose hemophagocytic syndrome, it must be kept mind. Mortality patients. Drug reaction eosinophilia systemic symptoms a rare, infrequent drug reaction. heterogeneous may prolonged despite discontinuation drug. Overlap different diagnoses elderly patients; In presence multiple use chronic diseases, management difficult early initiation effective treatment can delayed. case report; 66-year-old male patient who underwent nephrostomy due bilateral hydronephrosis developed sepsis HPS follow-up after hospitalization fever complicated during presented.