Rahmawati Yuly, Maranatha Daniel
Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Ann Med Surg (Lond). 2022 Jul 14;80:104149. doi: 10.1016/j.amsu.2022.104149. eCollection 2022 Aug.
Varicella pneumonia is a rare clinical manifestations and potentially lethal complications of varicella in a previously healthy adult.
An Indonesian male, 44 years old, Javanese ethnic, complained of progressive dyspnea two days. He had previously been contacting varicella from his daughter 3-4 days before dyspnea onset. He showed typical symptoms of varicella, such as fever and vesicles all over the body. He had been in good health despite having a chronic hepatitis B infection. Chest X-ray on admission revealed bilateral diffuse consolidation with air-bronchogram. Diagnosis of varicella pneumonia was based on typical varicella cutaneous, clinical and chest X-ray findings. We installed mechanical ventilatory support in the isolation ward and he received acyclovir and symptomatic treatment. Ventilatory support was removed on the 3rd day. He successfully recovered on the third day and uninstalled an endotracheal tube.
The early and accurate diagnosis of varicella pneumonia was based on disease course and chest X-ray. Managing varicella pneumonia with acute respiratory failure was mechanical ventilator support (when needed), an antiviral, and other symptomatic treatment.
Varicella pneumonia is a rare and severe complication with a good prognosis if diagnosed and treated promptly.
水痘肺炎是既往健康的成年人患水痘时罕见的临床表现及潜在致命并发症。
一名44岁的印度尼西亚男性，爪哇族，主诉渐进性呼吸困难2天。在呼吸困难发作前3 - 4天，他曾与患水痘的女儿有过接触。他表现出典型的水痘症状，如发热及全身水疱。尽管患有慢性乙型肝炎，但他此前身体健康。入院时胸部X线显示双侧弥漫性实变伴支气管充气征。水痘肺炎的诊断基于典型的水痘皮肤表现、临床症状及胸部X线检查结果。我们在隔离病房为他安装了机械通气支持，并给予阿昔洛韦及对症治疗。第3天撤除通气支持。他在第3天成功康复并拔除气管插管。
水痘肺炎的早期准确诊断基于病程及胸部X线检查。对于伴有急性呼吸衰竭的水痘肺炎，治疗方法为机械通气支持（必要时）、抗病毒治疗及其他对症治疗。
水痘肺炎是一种罕见且严重的并发症，若能及时诊断和治疗，预后良好。
