Haemothorax in the course of chickenpox.

Abstract

Haemothorax in the course of viral infections had not been described until 1982, when Gupta etal3 reported the unique association of chickenpox and haemothorax in a 30 year old man. In this case and ours coagulation was normal and other associated disease was not demonstrated. Papulovesicular haemorrhagic lesions in the pleural surface, similar to those in the skin, have been reported in one case of fatal varicella.6 In our patient, however, no haemorrhagic skin lesions were observed. Although direct vascular damage or an immune reaction localised in the pleura are the most probable explanations of haemothorax, these mechanisms have not been confirmed.Haemothorax can appear exceptionally in the course of chickenpox and the spontaneous favourable evolution seen in our case and in that reported by Gupta suggests that extensive investigation is not required. References

Hemorrhagic Parapneumonic Effusion in a 64 Year-Old Patient as the First Symptom of Hemophilia B

“…gruźlicy, martwiczemu zapaleniu płuc). W pojedynczych przypadkach wykazano związek samoistnego krwawienia do opłucnej z anomaliami anatomicznymi [2], zapaleniem płuc wywołanym wirusem ospy wietrznej i półpaśca [3] i chorobami układowymi [4].…”

Hemothorax

“…Bernstein and colleagues reported a single patient with a true hemothorax that grew Mycobacterium tuberculosis. 70 Hemothorax also has been described after varicella pneumonia 71 where petechial hemorrhage on the surface of the lung is a probable cause. With the paucity of reports of hemothorax complicating pneumonia or empyema, alternative diagnoses should be sought when hemothorax is encountered.…”

Alpha-1-Antitrypsin Deficiency and a Pleural Shadow

“…A case report. Clin Orthop Rel Res 1993;288:277-814 Monsivais JJ, Scully TJ, Dixon BL. Chronic osteomyelitis of the hand…”