2021
DOI: 10.25259/ijdvl_65_20
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Varicella gangrenosa: A rare chickenpox complication

Abstract: Varicella gangrenosa is a rare but life-threatening dermatological complication of infection with varicella-zoster virus. A healthy 37-year-old male who had been diagnosed with varicella 20 days back was admitted to our hospital with complaints of fever and painful necrotic skin lesions. Physical examination revealed multiple round to oval ulcers covered with eschar predominantly over arms, lower limbs, back of trunk and flanks. Streptococcus pyogenes and Staphylococcus aureus grew in wound culture. Biopsy rev… Show more

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Cited by 4 publications
(7 citation statements)
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“…Recommended treatment includes early and prolonged administration of acyclovir and systemic antibiotics with good streptococcal and staphylococcal coverage. 1 While debridement is frequently suggested, 1,2 the clinical evolution in our case remained favorable, even though it was not performed.…”
Section: To the Editorsmentioning
confidence: 62%
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“…Recommended treatment includes early and prolonged administration of acyclovir and systemic antibiotics with good streptococcal and staphylococcal coverage. 1 While debridement is frequently suggested, 1,2 the clinical evolution in our case remained favorable, even though it was not performed.…”
Section: To the Editorsmentioning
confidence: 62%
“…Varicella gangrenosa, one of the complications of varicella, is a type of necrotizing fasciitis, which, although rare, can be potentially life-threatening. 1–3 Its most common subtype is moist gangrene, resulting from a super-added bacterial infection, most often caused by group A β-hemolytic Streptococcus or S. aureus . 1…”
Section: To the Editorsmentioning
confidence: 99%
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“…It usually occurs between the fourth and seventh days following the onset of varicella chickenpox. 6 Most of the previously reported cases affected adults owing to their higher susceptibility to complications. 6 In our report, both the cases were of pediatric age group and were immunocompetent.…”
Section: Discussionmentioning
confidence: 99%
“…6 Most of the previously reported cases affected adults owing to their higher susceptibility to complications. 6 In our report, both the cases were of pediatric age group and were immunocompetent. They were managed successfully with intravenous acyclovir and antibiotics.…”
Section: Discussionmentioning
confidence: 99%