Varicella pneumonia in an immunocompetent adult

Voore, Naveen; Lai, Richard H.C.

doi:10.1503/cmaj.111473

Cited by 13 publications

(14 citation statements)

References 5 publications

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“…The proportion of subjects who reported vitiligo-related disturbances to their sexual lives in our study (21.6%) was similar to that in previous published work. 4 A novel finding in our study was that genital involvement and generalized distribution were the most significant risk factors that could affect a patient's sexual life. It has been reported that camouflage can improve QoL of patients with vitiligo.…”

Section: Impact Of Genital Involvement On the Sexual Lives Of Vitiligmentioning

confidence: 71%

“…Previously, we examined the separation site of subepidermal blistering by IF study of the lesional skin samples using antibody to laminin-332. 4 Laminin-332 was detected on dermal, epidermal and both sides of the blister in BP, epidermolysis bullosa acquisita and MMP, respectively. The autoantibody to laminin-332 may be pathogenic in this case, because the blister formed inside the laminin-332 layer as seen in MMP cases, although the pathogenic mechanism needs further elucidation.…”

Section: Case Of Pemphigoid Involving Skin and Mucous Membrane With Imentioning

confidence: 96%

“…1 Sexual life is an important element of QoL, and a few studies have reported that patients with vitiligo suffer from difficulty in sexual life. [2][3][4] However, factors Correspondence: Yee Jin Shin, M.D., Ph.D., Department of Psychiatry, Gangnam Severance Hospital, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Korea. Email: yjshin@yuhs.ac which affect sexual life have not been clearly elucidated.…”

Section: Impact Of Genital Involvement On the Sexual Lives Of Vitiligmentioning

confidence: 99%

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Impact of genital involvement on the sexual lives of vitiligo patients

Kim

Lee

et al. 2013

The Journal of Dermatology

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Section: Impact Of Genital Involvement On the Sexual Lives Of Vitiligmentioning

confidence: 71%

Section: Case Of Pemphigoid Involving Skin and Mucous Membrane With Imentioning

confidence: 96%

Section: Impact Of Genital Involvement On the Sexual Lives Of Vitiligmentioning

confidence: 99%

See 1 more Smart Citation

Impact of genital involvement on the sexual lives of vitiligo patients

Kim

Lee

et al. 2013

The Journal of Dermatology

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“…The severity of these pneumonias varies from mild to fatal, due to severe respiratory failure (1). Progression to acute respiratory failure and 50% mortality rates may be seen especially in immune suppressive patients (3,4). There are various risk factors for the progression of pneumonia during the primary varicella zoster virus infection: the development of respiratory symptoms, smoking, skin sing of more than 100, contact with a patient or a baby with smallpox, pregnancy, immune deficiency, chronic pulmonary disease, and the male gender (1,5).…”

Section: Discussionmentioning

confidence: 99%

“…The mortality rate of varicella pneumonia is 15%. Various studies have reported that the early initiation of acyclovir treatment might be lifesaving by preventing this severe complication of varicella (1,4). Early treatment is defined as the treatment commenced within the first 36 hours in immunocompetent adults aged above 18 years and who have been hospitalized for radiologically evident pneumonia (1).…”

Section: Discussionmentioning

confidence: 99%

A Case of Respiratory Failure due to Smallpox Pneumonia

Başaran¹,

Gayaf²,

Özsöz³

et al. 2015

Respir Case Rep

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Smallpox pneumonia is a rare complication of the smallpox infection. We present our case of required mechanical ventilation related to smallpox pneumonia in association with respiration failure. A 31-yearold female applied to our emergency department due to cough, tachypnea, and a common papulovesicular skin rash as her radiological investigations bilateral nodular pulmonary infiltrates were diagnosed. She had a contact history, with her baby experiencing the smallpox disease. According to clinical and laboratory findings the case was diagnosed as smallpox pneumonia. Acyclovir 4 gr/day p.o. antiviral management was initiated. At the second day severe dyspnea and cyanoses occurred and patient transferred to intensive care unit after intubation. After 48 hours with mechanical ventilation the patient extubated herself. After 15 days of acyclovir treatment a remarkable clinical and radiological recovery was observed. During smallpox disease symptoms of pneumonia and also possible hypoxemia must be closely monitored in order to prevent mortality due to respiratory failure. Key words: Pneumonia, respiratory failure, smallpox.Smallpox is an infectious disease caused by the varicella zoster virus. It is more commonly encountered during childhood and characterized with fever and skin rush. Smallpox pneumonia is one of the most severe complications of smallpox infection that is experienced during adolescence and Suçiçeği pnömonisi bu hastalığın seyri sırasında görü-lebilen nadir bir durumdur. Burada suçiçeği pnömo-nisi sonrası mekanik ventilasyon gerektiren ciddi bir solunum yetmezliği gelişmiş bir olguyu sunmaya çalıştık. Otuz bir yaşında kadın hasta, hastanemizin acil servisine öksürük, apne, takipne ve yaygın papü-loveziküler döküntü bulgularıyla başvurdu. Radyolojik incelemelerde bilateral nodüler dolgunluk izlendi. Hikâyesinde suçiçeği geçiren bebeği ile teması olduğunu anlattı. Klinik ve laboratuvar bulguları ile hastaya suçiçeği pnömonisi tanısı kondu. Hasta yatırılarak asiklovir 4 gr/gün tedavisi başlandı. Yatışının 2. gü-nünde ciddi dispne ve siyanoz bulguları gelişmesi üzerine entübe edilerek yoğun bakım ünitesine alındı. Mekanik ventilasyon ile 48 saat tedavi sonrası hasta kendini ekstübe etti. Asiklovir tedavisi ile 15 gün sonra belirgin klinik ve radyolojik düzelme sağlandı. Suçiçeği hastalarında görülen pnömoni, gelişebilecek hipoksemi ve solunum yetmezliğine bağlı ölüm ihtimaline karşı yakından takip edilmelidir.Anahtar Sözcükler: Pnömoni, solunum yetmezliği, suçiçeği.may be correlated with death due to respiratory failure (1). In adults, smallpox pneumonia prevalence remains in the range of 0.25-1.8 %. In the most of the cases cough, fever, dyspnea, and tachypnea are the most common symptoms (1,2).

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