Abdelghani A, Slama S, Hayouni A, Njima H, Mezghani S, Klabi N, Garrouche A, Benzarti M, Jerray M
Service de pneumologie, CHU Farhat-Hached, 1, rue Ibn Eljazzar, 4000 Sousse, Tunisia.
Rev Pneumol Clin. 2009 Feb;65(1):9-12. doi: 10.1016/j.pneumo.2008.08.002. Epub 2008 Dec 13.
Pneumonia caused by varicella infection is a serious and severe complication of the disease when it occurs in adults. The authors report two cases of a varicella pneumonia in a 36 and a 41 year-old non-immunocompromised man. They were admitted to hospital for acute respiratory failure, not requiring intensive care, associated with exanthema. High resolution CT revealed well-defined diffuse nodules throughout both lungs, nodules with a surrounding halo of ground-glass opacity. Thrombocytopenia, hepatic cytolysis and an increase in lacticodeshydrogenase were noted. The patients made a full recovery with anti-viral therapy and oxygen therapy. Varicella pneumonia is the most common complication of varicella in adults. Anti-viral treatment is usually successful.
水痘感染引起的肺炎在成人中发生时是该疾病一种严重的并发症。作者报告了两例水痘肺炎病例,患者分别为一名36岁和一名41岁的非免疫功能低下男性。他们因急性呼吸衰竭入院,伴有皮疹,无需重症监护。高分辨率CT显示双肺弥漫性结节边界清晰,结节周围有磨玻璃样密度增高影。患者出现血小板减少、肝细胞溶解和乳酸脱氢酶升高。患者通过抗病毒治疗和氧疗完全康复。水痘肺炎是成人水痘最常见的并发症。抗病毒治疗通常是成功的。