COVID-19 and Chickenpox as a Viral Co-Infection in a 12-Year-Old Patient, a Case Report

Abstract

<jats:p>Introduction: Since the end of December 2019, most countries have been affected by the coronavirus disease 2019 (COVID-19) epidemic. The prevalence of COVID-19 in children has been reported much lower than adults. Most patients have mild symptoms, whereas some cases are asymptomatic. Information on the pediatric clinical manifestations is limited; therefore, reporting specific cases can improve the diagnosis process. Case Presentation: In this article, we reported a 12-year-old boy with chickenpox and COVID-19 at the same time. The patient initially had symptoms of chickenpox and then developed pneumonia. The PCR-test for COVID-19 was positive. The IgM test was positive, and IgG was negative. Chickenpox infection was confirmed by the serological test (positive IgM). The radiographic results showed reverse halo sign and vascular enlargement. Conclusions: These imaging findings are uncommon signs of COVID-19 in pediatrics. The patient was treated with hydroxychloroquine and azithromycin and discharged a few days later with good condition.</jats:p>

COVID-19 and Co-infection in Children: The Indian Perspectives

“…This mirrors the adult findings, where S.aureus dominated the picture in the first 48 h of hospital admission but with increased ICU stay duration, Gram-negative septicemia with Klebsiella pneumoniae and Escherichia coli increased [16]. Taking due [24]. Such discrepancies can be explained by the numerous study design differences to a large extent, the notable ones pertaining to consideration of respiratory and extra-respiratory infections, pathogen considered, microbiological investigations employed, use of culture and non-culture methods, time of specimen collection, exclusion/inclusion of contaminants and study population itself.…”

Clinical characteristics and outcomes of patients with Herpes Zoster Infection in the context of SARS-CoV-2 infection. A case report and a systematic review

“… 42 Although SARS-CoV-2-infected patients are reported to have presented with ample skin manifestations resembling the herpes virus, the lesions associated with SARS-CoV-2 disease were less itchy and mostly detected in the trunk and limbs and rarely on the face as compared to the typical localized dermatomal appearance of HZ. 43 Besides skin manifestations, few papers corroborated the VZV encephalitis, retinal necrosis, and cranial polyneuropathy. 44 , 45 Ferreira et al reported an HZ case, wherein SARS-CoV-2 disease symptoms developed 10 days later.…”

Autoimmune disease and unusual infections in critically ill patient with COVID-19: case report

“…En pacientes inmunocomprometidos las lesiones pueden tornarse (20) hemorrágicas . Un solo relato de coinfección (3) varicela y COVID-19 se reporta . En la paciente de este ensayo, se ha confirmado la presencia de VVZ por biología molecular en biopsia cutánea y en dos oportunidades en secreción traqueal, configurando el cuadro de varicela y neumonía varicelosa.…”

“…La coinfección en pacientes hospitalizados es del orden del 3,5% y la infección secundaria puede darse en un 14,3% (2). Por otro lado, hemos encontrado un solo caso de co-infección de varicela y el nuevo coronavirus y 72 casos de vasculitis en pacientes con infección por SARS-CoV-2 alrededor del mundo (3,4). Presentamos el caso de un paciente adulto que sobrevivió a una enfermedad crítica por COVID-19 en la UCI y desarrolló excepcionales complicaciones durante su evolución.…”