DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20151474

Acute respiratory distress syndrome due to viral pneumonitis in case of varicella zoster in adult: case report

Anaz Binazeez, Saurabh Kothari, Dhaval Dave, Manish Pendse, Divya Lala, Smita Patil, Archana Bhate

Abstract


Chickenpox, is a highly contagious disease caused by infection with varicella zoster virus (VZV). The disease is often more severe in adults than children.  Here we present a case of adult male suffering from chicken pox who presented with complication of acute respiratory distress syndrome [ARDS] due to viral pneumonitis. Due to his late presentation, despite of giving antivirals, patient had a fatal outcome. So this case highlights the necessity & importance of early administration of antivirals, especially in adult pox, to tackle the complications of disease and get a favourable outcome.


Keywords


Varicella Zoster, Adult Pox, Acute Respiratory Distress Syndrome, Viral Pneumonitis, Acyclovir

Full Text:

PDF

References


"Chickenpox (Varicella) Overview". cdc. gov. November 2011.

"Chickenpox (Varicella) Signs & Symptoms". http://www.cdc.gov/. November 16, 2011.

"Chickenpox (Varicella) Complications". cdc.gov. November 16, 2011.

Atkinson, William (2011). Epidemiology and Prevention of Vaccine-Preventable Diseases (12 ed.). Public Health Foundation. pp. 301–323.

"Chickenpox (Varicella) Prevention & Treatment". cdc.gov. November 16, 2011.

"Chickenpox (Varicella) Interpreting Laboratory Tests". cdc.gov. June 19, 2012.

"Routine vaccination against chickenpox?". Drug Ther Bull 4 (50): 42–5. 2012.

Flatt, A; Breuer, J (September 2012). "Varicella vaccines”. British medical bulletin 103.

Macartney, K; Heywood, A; McIntyre, P (23 June 2014). "Vaccines for post-exposure prophylaxis against varicella (chickenpox) in children and adult".

Mohsen AH, McKendrick MW. Varicella pneumonia in adults. Eur Respir J 2003; 21: 886-91.

Alborzi P. Chickenpox in adults. SEMJ. 2001;2:167-70.

Ozaki T, Ichikawa T, Matsui Y. Viremic. phase in immunocompromised children with varicella. J Pediatr 1984;104:85-7.

Popara M, Pendle S, Sackes I, Smego RA. Varicella Pneumonia in patients with HIV/AIDS. Int J Infect Dis. 2002;6:6-8.

Ali ME. Varicella zoster during pregnancy: a strategy for prevention. J Obst Gynaecol. 2001;21:17-20.

Hock BRS, Rothstein RJ. Varicella pneumonitis in adults spectrum of disease. Ann Emerg Med. 1986,15:931-4.

Parmet S, Cassio L, Richard M. Chickenpox. JAMA. 2005;294:866.

Feldman S. Varicella -zoster virus pneumonitis. Chest. 1994;106:22S-27S.

Kaneko T, Ishiqatsubo Y. Varicella pneumonia in adults. Intern Med. 2004;43:1105-6.

Ali Hassan Abro, Chickenpox: presentation and complications in adults, JPMA December 2009.