Uemura A, Okano A, Iwata M, Satou A
Division of Internal Medicine, Kakegawa General Hospital, Shizuoka Pref., Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1992 Aug;30(8):1569-73.
We report a case of adult primary varicella pneumonia. A 34-year-old man was admitted to our hospital with fever, dry cough and eruptions. He had no history of chicken pox and his sons had contracted varicella 2 weeks before the onset of his symptoms. Chest X-ray showed diffuse nodular shadows in both lungs. The diagnosis of primary varicella pneumonia was made based on family history, typical eruptions and high titer of antibody against Varicella zoster virus. An electron micrograph indicated this case to be primary varicella pneumonia with fibrosis and edema of interstitial spaces and the presence of virus-like particles in cells. The patient was treated with antibiotics, an antiviral agent and immunoglobulin. The clinical symptoms and diffuse nodular shadows resolved with this treatment.
我们报告一例成人原发性水痘肺炎。一名34岁男性因发热、干咳和皮疹入院。他既往无水痘病史，其儿子在他症状出现前2周患了水痘。胸部X线显示双肺弥漫性结节状阴影。根据家族史、典型皮疹及水痘带状疱疹病毒抗体高滴度确诊为原发性水痘肺炎。电子显微镜照片显示该病例为原发性水痘肺炎，伴有间质纤维化和水肿，细胞内存在病毒样颗粒。患者接受了抗生素、抗病毒药物和免疫球蛋白治疗。经此治疗，临床症状及双肺弥漫性结节状阴影均消失。
