Sherman R A, Silva J, Gandour-Edwards R
Department of Internal Medicine, University of California, Davis, Medical Center, Sacramento.
Rev Infect Dis. 1991 May-Jun;13(3):424-7. doi: 10.1093/clinids/13.3.424.
An unusual and fatal case of primary varicella in an adult is presented. Involvement of the small intestine first manifested as abdominal pain and later progressed to gastrointestinal bleeding with subsequent dissemination of the infection. Although it has previously been speculated that gastrointestinal bleeding can result from infection with the varicella-zoster virus, the data from this case include histologic and cultural evidence that supports the clinical observations. The literature has been reviewed, and the management of this patient has been critically evaluated.
本文报告一例成人原发性水痘罕见致死病例。小肠受累最初表现为腹痛，随后发展为胃肠道出血，继而感染播散。尽管此前推测胃肠道出血可能由水痘 - 带状疱疹病毒感染引起，但该病例的数据包括组织学和培养证据，支持了临床观察结果。我们回顾了相关文献，并对该患者的治疗进行了严格评估。
