Ariyasu Ryo, Nakagawa Kazuhiko, Ikegami Naoya, Konishi Chisato, Nakao Satoshi, Funazo Tomoko, Taki Masato, Morita Kyohei, Hwang Moon Hee, Yoshimura Chie, Wakayama Toshiaki, Nishizaka Yasuo
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan.
Intern Med. 2016;55(21):3143-3145. doi: 10.2169/internalmedicine.55.7136. Epub 2016 Nov 1.
Varicella zoster virus (VZV) infection does not always provide lifelong immunity. A reinfection with VZV occurs more commonly than previously thought. Varicella infection spreads through the blood-stream, causing pneumonia. Varicella pneumonia results in bilateral pulmonary nodular infiltrations. We herein report a case of varicella reinfection with unilateral varicella pneumonia in which a reduced pulmonary blood flow due to radiation damage was considered to be the cause of unilateral pneumonia. In patients with an asymmetric pulmonary blood flow, careful interpretation of unilateral infiltration is therefore considered to be important with making a differential diagnosis.
水痘带状疱疹病毒(VZV)感染并不总能提供终身免疫。VZV再感染的发生比以前认为的更为常见。水痘感染通过血流传播,导致肺炎。水痘肺炎会导致双侧肺结节性浸润。我们在此报告一例水痘再感染合并单侧水痘肺炎的病例,其中因放射损伤导致的肺血流减少被认为是单侧肺炎的原因。因此,对于肺血流不对称的患者,在进行鉴别诊断时仔细解读单侧浸润被认为很重要。