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免疫功能正常的中年男性水痘肺炎 1 例报告

Varicella Pneumonia in an Immunocompetent Middle-aged Adult Male: A Case Report.

机构信息

Department of Internal Medicine, Nobel Medical College Teaching Hospital (P) Ltd., Biratnagar, Morang, Nepal.

Department of Pulmonary, Critical Care and Sleep Medicine, Nobel Medical College Teaching Hospital (P) Ltd., Biratnagar, Morang, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Jul 1;60(251):651-653. doi: 10.31729/jnma.7427.

DOI:10.31729/jnma.7427
PMID:36705202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9297350/
Abstract

UNLABELLED

Varicella pneumonia is uncommon among adults and can present as potentially life-threatening complications of varicella. Here we report a case of a 43-year-old man with no known history of chronic disease and no allergic history who presented to our hospital emergency department with widespread skin eruptions over the entire body and hemoptysis. Varicella pneumonia was diagnosed based on the patient being in contact with his 6-year-old son who had contracted chickenpox 10 days back, typical cutaneous lesions, pulmonary symptoms and radiographic findings. The patient was treated with oral acyclovir and was admitted to the intensive care unit for monitoring. The patient recovered completely after 10 days of treatment.

KEYWORDS

chickenpox; pneumonia; skin eruptions.

摘要

未注明

成人水痘肺炎并不常见,但可出现水痘的潜在危及生命的并发症。在此,我们报告一例 43 岁男性病例,该患者无已知慢性病史,无过敏史,因全身广泛皮疹和咯血就诊于我院急诊科。根据患者与 10 天前患水痘的 6 岁儿子接触的病史、典型的皮肤损伤、肺部症状和影像学发现,诊断为水痘肺炎。患者接受阿昔洛韦口服治疗,并收入重症监护病房进行监测。经过 10 天的治疗,患者完全康复。

关键词

水痘;肺炎;皮疹。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25e5/9297350/012354f10ade/JNMA-60-251-651-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25e5/9297350/5d585f386d2e/JNMA-60-251-651-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25e5/9297350/012354f10ade/JNMA-60-251-651-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25e5/9297350/5d585f386d2e/JNMA-60-251-651-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25e5/9297350/012354f10ade/JNMA-60-251-651-g2.jpg

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本文引用的文献

1
Varicella Zoster Virus Reactivation Following COVID-19 Vaccination: A Systematic Review of Case Reports.新冠疫苗接种后水痘带状疱疹病毒再激活:病例报告的系统评价
Vaccines (Basel). 2021 Sep 11;9(9):1013. doi: 10.3390/vaccines9091013.
2
Varicella-zoster Virus Related Pulmonary Granulomas in Which Varicella-zoster Virus DNA Was Demonstrated in a Thoracoscopic Lung Biopsy Specimen.在胸腔镜肺活检标本中检测到水痘-带状疱疹病毒DNA的水痘-带状疱疹病毒相关肺肉芽肿
Intern Med. 2019 Jul 15;58(14):2101-2105. doi: 10.2169/internalmedicine.2021-18. Epub 2019 Mar 28.
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Varicella pneumonia in adults: 13 years' experience with review of literature.
一群免疫功能正常的青少年水痘肺炎的临床和放射学特征:一项描述性研究。
J Thorac Dis. 2024 Jul 30;16(7):4379-4390. doi: 10.21037/jtd-24-149. Epub 2024 Jul 23.
成人水痘肺炎:文献复习 13 年经验。
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Chickenpox in adults - clinical management.成人水痘——临床管理
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Varicella.水痘
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Lung function tests and risk factors for pneumonia in adults with chickenpox.成人水痘患者的肺功能测试及肺炎风险因素
Thorax. 2001 Oct;56(10):796-9. doi: 10.1136/thorax.56.10.796.
9
Laboratory diagnosis of herpes zoster.带状疱疹的实验室诊断
J Clin Virol. 1999 Sep;14(1):31-6. doi: 10.1016/s1386-6532(99)00042-6.
10
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Int J Infect Dis. 1998 Jan-Mar;2(3):147-51. doi: 10.1016/s1201-9712(98)90117-5.