A case of maternal varicella: Expected role of primary care physicians in confirming immune status for varicella in women at childbearing age.

Autor: Nishihara Y; Department of Infectious Diseases Japanese Red Cross Narita Hospital Narita Chiba Japan.; Department of Infectious Diseases Kameda Medical Center Kamogawa Chiba Japan., Hase R; Department of Infectious Diseases Japanese Red Cross Narita Hospital Narita Chiba Japan.; Department of Infectious Diseases Kameda Medical Center Kamogawa Chiba Japan.
Jazyk: angličtina
Zdroj: Journal of general and family medicine [J Gen Fam Med] 2019 Dec 13; Vol. 21 (2), pp. 15-17. Date of Electronic Publication: 2019 Dec 13 (Print Publication: 2020).
DOI: 10.1002/jgf2.291
Abstrakt: At 19-week gestation, a 32-year-old Japanese woman presented with a 3-day history of fever and vesicular rashes on the skin and was diagnosed with varicella, which resolved after antiviral therapy. In the primary clinic, her immunity to rubella and measles, but not to varicella, was confirmed at preconception counseling. Maternal varicella infection can cause congenital varicella syndrome characterized by congenital malformations and neurological deficits. This case recommends that all women of childbearing age should be assessed for immunity to varicella before pregnancy and that primary care physicians should take initiatives for preventing maternal varicella.
Competing Interests: The authors have stated explicitly that there are no conflicts of interest in connection with this article.
(© 2019 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association.)
Databáze: MEDLINE
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