Life-threatening chickenpox pneumonitis in two previously healthy adults

Hunter, J. D.; Stott, S

doi:10.1177/014107689909200914

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Suçiçeği pnömonisi genellikle deri bulguları ortaya çıktıktan sonra gelişmekle birlikte öncesinde de ortaya çıkabilmektedir. Akciğer grafisi yaygın interstisyel veya nodüler lezyonlar göstermektedir (2)(3)(4)(5). Olgumuzda pnömoni semptomları deri bulguları sonrası altıncı günde ortaya çıkmış ve aynı günde çekilen akciğer grafisi normal izlenmiş.…”

Section: Discussionunclassified

Invasive mechanical ventilation requiring varicella pneumonia

Özbay

Sertoğullarından²

2011

Tuberk Toraks

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We aimed to report a case of varicella pneumonia that resulted in respiratory failure requiring mechanical ventilation. The patient was a 40-year-old man whose rashes started after his childeren developed varicella and who had a high fever, sputum and sputum with blood, cough, cold and shiver four days before admission. A treatment was commenced by an antiviral acyclovir and ampiric ampicillin-sulbactam therapy. Although a supporting oxygen treatment, the patient whose oxygen saturation did not increase and respiratory rate was high was commenced by an invasive mechanical ventilation because of a respiratory failure. The patient that had a recovery in clinical symptoms after 36 hours was extubated and was discharged from hospital by the following week.

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Section: Discussionunclassified

Invasive mechanical ventilation requiring varicella pneumonia

Özbay

Sertoğullarından²

2011

Tuberk Toraks

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“…[2][3][4][5]18] In the present case, parenteral antibiotics therapy, augmentin was administered for seven days, and a follow-up chest radiograph displayed the resolution of lung lesion. Intubation was not performed in the present case.…”

Section: Discussionmentioning

confidence: 99%

“…[1] Pneumonia is the most common complication of VZ in adults. [2][3][4][5] However, multiple organ involvement as a complication of VZ infection in adults is rare. [6][7][8][9][10][11] This study reports a case of disseminated VZ infection successfully treated with acyclovir.…”

Section: Introductionmentioning

confidence: 99%

Varicella-Zoster Infection with Encephalopathy, Pneumonia, and Renal Failure: A Case Report

et al. 2007

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Primary varicella-zoster (VZ) infection is rare in adults, but the rate of morbidity and mortality is higher than in children. Pneumonia is the most common complication of primary VZ infection in adults. Moreover, varicella pneumonia associated with acute renal failure and acute encephalopathy is very rare. This study reports on a case of disseminated VZ infection successfully treated with acyclovir. The patient was otherwise healthy and denied previous systemic or infectious disease. The initial diagnosis was varicella pneumonia. However, multiple organ involvement subsequently was found in several organs, including the kidney, brain, lung, liver, blood, and skin. The reactivation of VZ infection was strongly suspected. Abnormal renal and liver function and thrombocytopenia also were noted. The patient with chickenpox was treated successfully with acyclovir without complication. In conclusion, multiple organ involvement is a rare complication of VZ infection in adults. In the severe case presented here, adequate intravenous acyclovir administration and close observation of the general condition were essential for successfully treating disseminated VZ infection without complications.

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Varicella Pneumonia: Case Report and Review of a Potentially Lethal Complication of a Common Disease

Denny

Rocke

McRae

et al. 2018

Journal of Investigative Medicine High Impact Case Reports

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Varicella zoster virus causes varicella (chickenpox). It can be reactivated endogenously many years later to cause herpes zoster (shingles). Although varicella is usually a benign disease in healthy children, it resulted in over 11 000 hospitalizations and over 100 deaths every year, in all ages, in the United States. Morbidity was considerably worse in older teenagers and adults. Between 5% and 15% of cases of adult chickenpox will produce some form of pulmonary illness. Progression to pneumonia risk factors include pregnancy, age, smoking, chronic obstructive pulmonary disease, and immunosuppression. Typically, pulmonary symptoms occur 1 to 6 days after varicella zoster infection. They often include cough, fever, and dyspnea. Treatment is a 7-day course of intravenous acyclovir for varicella pneumonia. Early intervention may modify the course of this complication. This review illustrates practical features with a case of a 34-year-old female with severe varicella pneumonia. Despite the lack of significant past medical history and absence of immunosuppression, her pneumonia worsened and by using continuous positive airway pressure mask, intubation was avoided. More important, the radiographic progression of severe varicella pneumonia is shown. This highlights how a common disease of varicella can progress in an adult and manifest with significant organ malfunction.

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Life-threatening chickenpox pneumonitis in two previously healthy adults

Cited by 3 publications

References 6 publications

Invasive mechanical ventilation requiring varicella pneumonia

Invasive mechanical ventilation requiring varicella pneumonia

Varicella-Zoster Infection with Encephalopathy, Pneumonia, and Renal Failure: A Case Report

Varicella Pneumonia: Case Report and Review of a Potentially Lethal Complication of a Common Disease

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