Aabdi Mohammed, Hamza Mimouni, Moussa Lezreg, Houssam Bkiyar, Brahim Housni
Intensive Care Unit, Faculty of Medicine and Pharmacy of Oujda, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco.
Ann Med Surg (Lond). 2021 Jan 26;62:383-385. doi: 10.1016/j.amsu.2021.01.080. eCollection 2021 Feb.
Varicella zona infection is a rare condition in immunocompetent adults. It can lead to severe and lethal complications including Varicella pneumonia that can rapidly progress to acute respiratory distress syndrome a rare and life-threatening situation.
A 63 years old man was admitted to the intensive care unit for pneumonia with generalized papulovesicular lesions. After investigations, the diagnosis of Varicella pneumonia complicated with acute respiratory distress syndrome was maintained and the patient was put on mechanical ventilation, and despite proper management (antiviral treatment; protective ventilation and prone position) the patient died 48 hours after his admission.
Despite its rarity, Varicella pneumonia can be a life-threatening situation in immunocompetent adults. The diagnosis must be evoked when the patient presented with respiratory manifestations with dermatologic lesions.
水痘带状疱疹感染在免疫功能正常的成年人中是一种罕见疾病。它可导致严重和致命的并发症，包括水痘肺炎，后者可迅速进展为急性呼吸窘迫综合征，这是一种罕见且危及生命的情况。
一名63岁男性因肺炎伴全身丘疹水疱性皮疹入住重症监护病房。经过检查，维持水痘肺炎合并急性呼吸窘迫综合征的诊断，患者接受机械通气，尽管进行了适当治疗（抗病毒治疗、保护性通气和俯卧位），患者入院后48小时死亡。
尽管水痘肺炎罕见，但在免疫功能正常的成年人中可能是危及生命的情况。当患者出现伴有皮肤病变的呼吸道表现时，必须考虑到该诊断。
