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A Case of Adult Hemorrhagic Varicella with Pneumonia
Hyun Ok Kim, M.D.1, Jin Yong Kim, M.D.1, Kwang Il Ko, M.D.1, Young Saeng Kim, M.D.1, Sue-Yun Kim, M.D.1, Yoon Soo Park, M.D.1, Yiel-Hae Seo, M.D.2 and Yong Kyun Cho, M.D.1
Departments of Internal Medicine1, Laboratory Medicine2, Gachon University of medicine and science, Gil Medical Center, Incheon, Korea
Vol.39 Num.6 (p318~322)
Chickenpox is a common benign childhood disease caused by varicella-zoster virus, typically associated with fever and a characteristic exanthematous vesicular rash. The clinical manifestations in adults are more severe and more commonly complicated with varicella pneumonia. Hemorrhagic varicella, also called malignant chickenpox, is very rare and potentially fatal. Bleeding can occur in the form of hemorrhages within the rash and surrounding skin or within the mucous membrane. We report a case of hemorrhagic varicella complicated with pneumonia in a immunocompromised host. We emphasize on the successful treatment with continuous acyclovir infusion.
Keywords : Chickenpox, Immunocompromised host, Adult, Hemorrhage, Pneumonia, Treatment