Stocco J M, Silveira A L, Carvalho E da S
Hosp. Emílio Ribas, São Paulo.
AMB Rev Assoc Med Bras. 1990 Jul-Dec;36(3-4):128-33.
Chickenpox, an exanthemic disease common in childhood, has a benign course in most of the cases. However, several complications may occur; among them we have: bacterial infection of the skin, pneumonia, meningoencephalitis, thrombocytopenia, renal failure and others. The present study aims to analyse the occurrence of these complications, and for this purpose, a retrospective survey of the cases admitted to the Hospital Emílio Ribas during the period of December 1986 through December 1987 was performed. During this period, 117 patients were admitted, 91 of them aged 15 years or less. Associated complications were detected in 103 patients. The most frequent ones were pneumonia (31.87%) and bacterial infection of the skin (28.75%). Among children, the most frequent complication was skin bacterial infection (44 cases); whereas among adults, pulmonary complications were the most frequent. Among neurologic complications, there was a case of Guillain-Barré Syndrome, a very rarely occurrence in the literature. The lethality was high, and the pulmonary complications with septicemia were responsible the most part of them.
水痘是一种儿童期常见的发疹性疾病，多数情况下病程呈良性。然而，可能会出现多种并发症，其中包括：皮肤细菌感染、肺炎、脑膜脑炎、血小板减少症、肾衰竭等。本研究旨在分析这些并发症的发生情况，为此，对1986年12月至1987年12月期间在埃米利奥·里巴斯医院收治的病例进行了回顾性调查。在此期间，共收治了117例患者，其中91例年龄在15岁及以下。103例患者检测出相关并发症。最常见的是肺炎（31.87%）和皮肤细菌感染（28.75%）。在儿童中，最常见的并发症是皮肤细菌感染（44例）；而在成人中，肺部并发症最为常见。在神经系统并发症中，有1例吉兰 - 巴雷综合征，这在文献中极为罕见。致死率较高，肺部并发症合并败血症是导致死亡的主要原因。
