Varicella pneumonia in immunocompetent adults: report of two cases, with emphasis on high-resolution computed tomography findings

Gasparetto, Emerson L.; Warszawiak, Danny; Tazoniero, Priscilla; Escuissato, Dante L.; Marchiori, Edson

doi:10.1590/s1413-86702005000300010

Cited by 12 publications

(5 citation statements)

References 9 publications

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“…Two cases of VZV pneumonia in immunocompetent adults were reported by Gasparetto et al [13]. In one case, a persistent left-sided PE was noted.…”

Section: Vzvmentioning

confidence: 88%

“…Moreover, most hospitals lack the infrastructure to culture viruses or perform PCR based assays and technology [6]. It should be noted that in viral infections, PEs are usually small [6,[9][10][11][12][13], exudates [9] with predominantly mononuclear cells on the pleural fluid white blood cells differential [9,14], especially when thoracentesis was performed later in the course of the effusion development (specifically 48 h later) [6].…”

Section: Introductionmentioning

confidence: 99%

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Pleural effusions induced by human herpesviruses in the immunocompetent host

Rouka

Kotsiou

Kyriakou

et al. 2019

Infectious Diseases

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Methods: A computer-based search of the English literature for articles relative to Human Herpesviruses (HHVs) infection and pleural effusions (PEs) in the immunocompetent host was performed in PubMed and Scopus. The reference lists of the retrieved articles were also reviewed for relevant articles. Results: A total of 20 articles satisfied the selection criteria and were included in the study. In the majority of the articles, PEs were reported as clinical complications of systemic HHVinduced infection. The frequency of HHVs within the reported cases was five for HHV-1/2, one for HHV-3, six for HHV-4, six for HHV-5 and one for HHV-6. One case involved HHV-4 and HHV-5 co-infection. No case of HHV-7 or HHV-8 related PE in the immunocompetent host was retrieved. Conclusions: Pleural effusions in the immunocompetent host occur in severe viral infections and can be due to comorbidities (or septic complications) or due to the direct HHV pathogenicity although research relative to the susceptibility of pleural mesothelial cells to HHV infection is lacking. HHV pathogenicity needs to be studied further as it could explain undiagnosed PEs.

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“…Two cases of VZV pneumonia in immunocompetent adults were reported by Gasparetto et al [13]. In one case, a persistent left-sided PE was noted.…”

Section: Vzvmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Pleural effusions induced by human herpesviruses in the immunocompetent host

Rouka

Kotsiou

Kyriakou

et al. 2019

Infectious Diseases

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“…Compared to radiographic findings, CT findings of Varicella pneumonia in immunocompetent patients have been described as multiple nodules of soft-tissue densities ranging from 5 to 10 mm in diameter with no calcifications and appearing bilaterally [7][8][9]. Kim et al described three patients with Varicella pneumonia, and the CT scan findings from these patients showed nodules with a halo of ground-glass attenuation, patchy ground-glass attenuation, and coalescence of lesions [8].…”

Section: Discussionmentioning

confidence: 99%

Healed Varicella Pneumonia: A Case of Diffuse Pulmonary Microcalcifications

Mylarapu¹,

Yarabarla²,

Padilla³

et al. 2021

Cureus

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Varicella pneumonia is a potentially fatal complication of the Varicella-zoster virus (VZV), which causes the well-known chickenpox disease of childhood. Identifying this type of pneumonia by characteristic features is important for radiologists and radiology residents. Typical manifestations of active Varicella pneumonia include diffuse pulmonary nodules, which may mimic other diseases. Healed Varicella pneumonia can present as diffuse, calcified pulmonary micronodules. We describe a case of healed Varicella pneumonia in a patient with a history of remote VZV infection.

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“…Lymphadenopathy, reticular opacity, and pleural effusion can be found on occasion. On recovery progress, calcification can be found [14] . In this case, we found only infiltrate on both lungs.…”

Section: Radiologic Chest X-ray Features Of Varicellamentioning

confidence: 99%

Varicella Pneumonia in an Elderly Patient

Isidro Lumanpauw,

Usman Hadi

2021

Indian Journal of Forensic Medicine & Toxicology

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Varicella pneumonia is a common complication in adults, while it is a mild and self-limiting disease in children. Elderly patients may have severe manifestations compared to adults due to the weakening of their immune system in clearing the virus. Treatment with intravenous acyclovir and varicella-zoster immunoglobulin (VZIG) offers a good prognosis, while the use of steroids is still debated. Despite standard management, our case presents a fatality in an older woman with varicella pneumonia.

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Varicella pneumonia in immunocompetent adults: report of two cases, with emphasis on high-resolution computed tomography findings

Cited by 12 publications

References 9 publications

Pleural effusions induced by human herpesviruses in the immunocompetent host

Pleural effusions induced by human herpesviruses in the immunocompetent host

Healed Varicella Pneumonia: A Case of Diffuse Pulmonary Microcalcifications

Varicella Pneumonia in an Elderly Patient

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