Varicella pneumonia in an immunocompetent adult patient: Case report and review of the literature.

Autor:	Arias-Osorio CF; Medicine Program, School of Health, Universidad Santiago de Cali, Seccional Palmira, Colombia., Lozada-Ramos H; Medicine Program, School of Health, Universidad Santiago de Cali, Seccional Palmira, Colombia.; Health and Movement Research Group, Universidad Santiago de Cali, Cali, Colombia.; Specialization Program in Internal Medicine, Universidad Santiago de Cali, Cali, Colombia.; Universidad de Santander, Facultad de Ciencias Médicas y de la Salud, Bucaramanga, Colombia., Daza-Arana JE; Health and Movement Research Group, Universidad Santiago de Cali, Cali, Colombia.; Specialization Program in Internal Medicine, Universidad Santiago de Cali, Cali, Colombia.; Physiotherapy Program, Universidad Santiago de Cali, Cali, Colombia., Osorio-Toro LM; Specialization Program in Internal Medicine, Universidad Santiago de Cali, Cali, Colombia., Bonilla-Bonilla DM; Specialization Program in Internal Medicine, Universidad Santiago de Cali, Cali, Colombia.
Jazyk:	angličtina
Zdroj:	Respiratory medicine case reports [Respir Med Case Rep] 2024 Sep 15; Vol. 52, pp. 102112. Date of Electronic Publication: 2024 Sep 15 (Print Publication: 2024).
DOI:	10.1016/j.rmcr.2024.102112
Abstrakt:	Varicella is a childhood disease characterized by its self-limiting and benign nature. However, it can also affect the adult population due to risk factors, leading to infection with numerous complications involving the central nervous system, kidneys, respiratory system, and skin. Varicella pneumonia, one of the most feared complications in adults, occurs in approximately 1 out of 400 patients with the disease. This complication primarily affects male patients with a history of heavy smoking and immunosuppression, either due to an underlying disease such as HIV and cancer, drug use, pregnancy or pulmonary disease. It is recommended that this complication should be treated with intravenous acyclovir at a dose of 10 mg/kg/8 hours. The prognosis depends on the development of respiratory failure; up to 50 % of patients with this complication require invasive mechanical ventilation. Here, we report the clinical case of an immunocompetent patient with a typical presentation of varicella that rapidly progressed to a respiratory infection requiring antiviral treatment and invasive mechanical ventilation. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Authors. Published by Elsevier Ltd.)
Databáze:	MEDLINE
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