2013
DOI: 10.1136/bcr-2013-008693
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An ICU patient with spots and a peculiar pneumonia

Abstract: SUMMARYThis is the first report of varicella zoster virus (VZV) pneumonia in an adult patient treated with rituximab because of autoimmune haemolytic anaemia and it illustrates that a VZV infection should be considered when an immunocompromised patient develops pulmonary symptoms, even in the absence of cutaneous lesions. It also depicts the importance of performing varicella serology in patients receiving multiple immunosuppressive agents. BACKGROUND

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Cited by 2 publications
(3 citation statements)
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“…Incidence of varicella pneumonia is one in 400 cases of varicella [1] and well recognized risk factors have been identified such as smoking, male gender, pregnancy, immunosuppression, pulmonary obstructive lung disease and the severity of rash (> 100 spots) [1,2,4]. Systemic VZV infection should be considered when an immunocompromised patient develops pulmonary symptoms, even in the absence of cutaneous lesions [3].…”
Section: Discussionmentioning
confidence: 99%
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“…Incidence of varicella pneumonia is one in 400 cases of varicella [1] and well recognized risk factors have been identified such as smoking, male gender, pregnancy, immunosuppression, pulmonary obstructive lung disease and the severity of rash (> 100 spots) [1,2,4]. Systemic VZV infection should be considered when an immunocompromised patient develops pulmonary symptoms, even in the absence of cutaneous lesions [3].…”
Section: Discussionmentioning
confidence: 99%
“…Varicella pneumonia is the most frequent and severe complication of varicella infection in adults [1][2][3][4]. Benign but highly contagious childhood disease, in adults is uncommon but potentially life-threatening [5], associated with an mortality of 30% even higher (50%) in those with mechanical ventilation [2,3]. Transmission www.ijcasereportsandimages.com Neto et al 467 occurs via respiratory droplets or direct contact with lesions [2].…”
Section: Introductionmentioning
confidence: 99%
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