2022, Number 3
<< Back Next >>
Rev Mex Pediatr 2022; 89 (3)
Hemorrhagic varicella in an immunocompetent adolescent
Cañón-Murcia JA, Pérez-Hernández AA, Arias-Florez JS
Language: Spanish
References: 13
Page: 126-129
PDF size: 194.48 Kb.
ABSTRACT
Introduction: chickenpox is a common and highly contagious rash disease caused by the varicella-zoster virus. In general, its presentation is benign, but serious complications may occur. In this article we present an adolescent who developed thrombocytopenic purpura as a complication of chickenpox.
Clinical case: previously healthy 12-year-old female patient. Before admission, she had fever for six days, varicelloid rash, and epistaxis. On physical examination, in addition to the characteristic varicella rash, petechiae and ecchymosis were observed. Thrombocytopenia of 2,000/mm
3 was documented. Acyclovir, immunoglobulin, and systemic corticosteroids were administered, as well as platelet transfusions, remaining hospitalized for more than two weeks, until recovery was achieved.
Conclusion: serious complications of chickenpox such as thrombocytopenic purpura can occur in previously healthy and non-immunosuppressed patients.
REFERENCES
American Academy of Pediatrics. Committee on Infectious Diseases, Kimberlin artículos Monosomía y Varicela de la Rev. Pediatría DW, Barnett ED, Lynnfield R, Sawyer MH. Red book?: 2021-2024 report of the Committee on Infectious Diseases. 2021.
Miller HC, Stephan M. Hemorrhagic varicella: a case report and review of the complications of varicella in children. Am J Emerg Med. 1993; 11(6): 633-638.
Nageswaramma S, Kumari GS, Dorai B. Case report of hemorrhagic varicella. Indian J Paediatr Dermatology. 2017; 19(2): 143.
Sierrasesumaga Ariznavarreta L. Complicaciones de la varicela en el niño inmunocompetent. An Pediatr. 2003; 59(Supl. 1): 32-40.
Diniz LMO, Maia MMM, Oliveira YV, Mourao MSF, Couto AV, Mota VC et al. Study of complications of varicella-zoster virus infection in hospitalized children at a reference hospital for infectious disease treatment. Hosp Pediatr. 2018; 8(7): 419-425.
Alfayate Miguélez S, Menasalvas Ruiz AI. Complicaciones de la varicela. An Pediatr Contin. 2011; 9(5): 281-287.
Lo Presti C, Curti C, Montana M, Bornet C, Vanelle P. Chickenpox: an update. Med Mal Infect. 2019; 49(1): 1-8. Available from: https://doi.org/10.1016/j.medmal.2018.04.395
Canelas C, Carvas JM, Sevivas C, Carvalho D. Image diagnosis: hemorrhagic bullae in a primary varicella zoster virus infection. Perm J. 2016; 20(4): 1-2.
Zhang W, Ruan QL, Yan F, Hu YK. Fatal hemorrhagic varicella in a patient with abdominal pain: a case report. BMC Infect Dis. 2020; 20(1): 2-5.
Raadsen M, du Toit J, Langerak T, van Bussel B, van Gorp E, Goeijenbier M. Thrombocytopenia in virus infections. J Clin Med. 2021; 10(4): 1-33.
Kaur H, Mohan G, Singh H, Singh G, A. Coagulopathy secondary to chicken pox: a case report. Int J Adv Med. 2017; 4(6): 1706-1708.
Liborio-Neto AO. Encefalitis aguda como complicación de varicela en niño. Rev Mex Pediatr. 2019; 86(3): 119-122.
Salinas M, Escalante P, Saeteros X. Varicela hemorrágica. Revista de la Facultad de Ciencias Médicas Universidad de Cuenca. 2014; 32(1): 79-86.