An ill-appearing child with skin lesions and respiratory distress

Authors

  • Miguel Bernardo Department of Pediatrics, Centro Hospitalar de Trás-os-Montes e Alto-Douro https://orcid.org/0000-0002-4060-8665
  • Ana Isabel Igreja Department of Pediatrics, Centro Hospitalar de Trás-os-Montes e Alto-Douro
  • Joana Carvalho Department of Pediatrics, Centro Hospitalar de Trás-os-Montes e Alto-Douro https://orcid.org/0000-0001-5075-2970
  • Helena Pereira Department of Pediatrics, Centro Hospitalar de Trás-os-Montes e Alto-Douro

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v32.i1.23836

Keywords:

children, necrotizing pneumonia, Pediatrics, pneumonia, varicella, varicella-zoster virus

Abstract

Primary infection with varicella-zoster virus (VZV) commonly occurs during childhood, generally with benign clinical course. The authors describe the case of a non-immunized eight-year-old girl with primary varicella infection complicated by a rare pulmonary finding: necrotizing pneumonia. Patient management and the spectrum of pulmonary complications in this setting are discussed.

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References

Gershon AA. Varicella-Zoster Virus Infections. Pediatrics in Review. 2008; 29(1):5–11. https://doi.org/10.1542/pir.29-1-5.

Boutin A, Bosdure E, Schott A, Beydon N, Chabrol B, Dubus JC. Pleuropneumopathie bactérienne en cours de varicella. Archives de Pédiatrie. 2008; 15:1643-7. https://doi.org/10.1016/j.arcped.2008.08.011.

Gnann Jr JW. Varicella-Zoster Virus: Atypical Presentations and Unusual Complications. The Journal of Infectious Diseases. 2002; 186 (Suppl1):91–8. https://doi.org/10.1086/342963.

Floret D. La varicelle de l’enfant immunocompétent: complications et facteurs de risque. Médecine et Maladies Infectieuses. 1998; 28:775-81. https://doi.org/10.1016/S0399-077X(98)80104-2.

Ziebold C, Kries R, Lang R, Weigl J, Schmitt HJ. Severe complications of varicella in previously healthy children in Germany: a 1-year survey. Pediatrics. 2004; 113(5):1470.

Lakser OJ. Pulmonary Abscess. In: Kliegman RM, Geme JS. Nelson textbook of pediatrics. 21st ed. Philadelphia (USA): Elsevier Inc; 2020. p. 2280-3.

World Health Organization. Varicella and herpes zoster vaccines: WHO position paper. Weekly epidemiological record. 2014 Jun 20; 89 (25):265–88.

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Published

2023-06-23

How to Cite

1.
Bernardo M, Igreja AI, Carvalho J, Pereira H. An ill-appearing child with skin lesions and respiratory distress. BGMJ [Internet]. 2023 Jun. 23 [cited 2025 Dec. 9];32(1):53-5. Available from: https://revistas.rcaap.pt/bgmj/article/view/23836

Issue

Vol. 32 No. 1 (2023)

Section

Image Cases

License

Copyright (c) 2023 Miguel Bernardo, Ana Isabel Igreja, Joana Carvalho, Helena Pereira

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