Adult varicella zoster infection complicated with streptococcal retrosternal abscess.

Autor: Bin Yap FB; Department of Dermatology, Sarawak General Hospital, Jalan Hospital, 93586 Kuching, Sarawak, Malaysia., Kiung ST
Jazyk: angličtina
Zdroj: Southern medical journal [South Med J] 2009 Jun; Vol. 102 (6), pp. 653-5.
DOI: 10.1097/SMJ.0b013e3181a49a71
Abstrakt: A 43-year-old lady with type 2 diabetes mellitus and bronchial asthma presented with varicella zoster infection, dyspnea, and neck fullness. An urgent computed tomography scan revealed a mediastinal abscess with superior vena cava thrombus. Blood, mediastinal pus, and swab from a vesiculopustule on the neck cultured group A beta hemolytic Streptococcus. She recovered with a combination of broad spectrum antimicrobials, antivirals, and surgical drainage. This case illustrates the rare occurrence of mediastinal abscess and acute superior vena cava obstruction caused by group A beta hemolytic Streptococcus complicating adult varicella zoster.
Databáze: MEDLINE