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Vol. 16. Issue 3.
Pages 493-505 (May - June 2010)
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Vol. 16. Issue 3.
Pages 493-505 (May - June 2010)
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Pneumonia a Varicella zoster
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Carla Ferreira Santos1,
Corresponding author
cfsantos@sapo.pt

Correspondência: Urbanização Quinta das Mesuras, Lote 9, 3.° Esq, 3500–225 Viseu, Tel.: 966 831 650.
, Ana Gomes2, António Garrido3, Ana Albuquerque4, Eduardo Melo4, Inês Barros4, António Marques5, José Pedro Saraiva6
1 Interna do Complementar de Medicina Interna, Serviço Medicina Interna 2, Hospital de São Teotónio, EPE, Avenida Rei Dom Duarte, 3504–509 Viseu – Portugal
2 Especialista em Medicina Interna, Serviço Medicina Interna 1, Hospital de São Teotónio, EPE, Avenida Rei Dom Duarte, 3504–509 Viseu – Portugal
3 Especialista em Medicina Interna, Serviço Medicina Interna 2, Hospital de São Teotónio, EPE, Avenida Rei Dom Duarte, 3504–509 Viseu – Portugal
4 Assistente Hospitalar Graduado em Medicina Interna, Intensivista, UCIP, Hospital de São Teotónio, EPE, Avenida Rei Dom Duarte, 3504–509 Viseu – Portugal
5 Especialista em Medicina Interna, Intensivista, UCIP, Hospital de São Teotónio, EPE, Avenida Rei Dom Duarte, 3504–509 Viseu – Portugal
6 Chefe de Serviço de Anestesiologia, Intensivista. Director de Serviço de UCIP, Hospital de São Teotónio, EPE, Avenida Rei Dom Duarte, 3504–509 Viseu – Portugal
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Resumo

A varicela é uma doença infecto contagiosa comum na infância, ocorrendo pouco mais de 2% dos casos em adultos. Desde a década de 80 que a sua incidência nos adultos tem vindo a aumentar, dos quais apenas 7% são seronegativos1. A pneumonia a Varicella zoster, se bem que rara, constitui a complicação mais grave e mais frequente no adulto.

Os autores apresentam um caso clínico ilustrativo de pneumonia a Varicella zoster num adulto fumador e imunocompetente e fazem uma breve revisão teórica sobre o tema.

Palavras-chave:
Varicela
pneumonia
ARDS
Abstract

Varicella (chickenpox) is a common contagious infection of childhood, with fewer than 2% of the cases occurring in adults. Since the early 1980s the incidence of chickenpox in adults has been increasing and only 7% of them are seronegative for Varicella zoster antibodies. Pneumonia, although rare, is the most common and serious complication of chickenpox infection in adults.

The authors present an illustrative case of varicella pneumonia in an immunocompetent adult with smoking habits and make a brief thematic review.

Key-words:
Chickenpox
pneumonia
ARDS
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Bibliografia
[1.]
A.H. Mohsen, M. McKendrick.
Varicella pneumonia in adults.
Eur Resp J, 21 (2003), pp. 886-891
[2.]
R.S. Hockberger, R.J. Rothstein.
Varicella Pneumonia in adults: A spectrum of disease.
Annals of Emergency Medicine, 15 (1986), pp. 117-120
[3.]
S. Feldman.
Varicella-zoster pneumonitis.
Chest, 106 (1994), pp. 22-27
[4.]
E.L. Ong, P. Mulvenna, K.A. Webb.
Varicella-zoster infection in adults with cystic fibrosis: role of acyclovir.
Scand J Infect Dis, 23 (1991), pp. 283-285
[5.]
N.E. MacDonald, R.F. Morris, P.H. Beaudry.
Varicella in children with cystic fibrosis.
Pediatric Infect Dis J, 6 (1987), pp. 414-416
[6.]
T. Shirai, et al.
Varicella pneumonia in a healthy adult presenting with severe respiratory failure.
Internal Medicine, 35 (1996), pp. 315-318
[7.]
P.A. Nee, P.J. Edrich.
Chickenpox pneumonia: case report and literature review.
J Accid Emerg Med, 16 (1999), pp. 147-154
[8.]
W.A. Lee, S. Kolla, R.L. Schreiner, et al.
Prolonged extracorporeal life support (ECLS) for varicella pneumonia.
Crit Care Med, 25 (1997), pp. 977-982
[9.]
Q.N. Huong, O.J. Aisha, F.S. Jane.
Decline in mortality due to varicella after implementation of varicella vaccination in the United States.
NEJM, 352 (2005), pp. 450-458
[10.]
U. Heininger, J.F. Seward.
Varicella. Lancet, 368 (2006), pp. 1365-1376
[11.]
M. Mer, G.A. Richards.
Corticosteroids in life-threatening varicella pneumonia.
Chest, 114 (1998), pp. 426-431
[12.]
A.M. Jones, N. Thomas, E.G.L. Wilkins.
Outcome of varicella pneumonitis in immunocompetent adults requiring treatment in a high dependency unit.
J Infect, 43 (2001), pp. 135-139
[13.]
G. Enders, E. Miller.
Varicella and herpes zoster in pregnancy and the newborn.
Varicella zoster virus: Basic virology and clinical management, Cambridge University Press, (2000),
[14.]
Kim JS, et al. High-resolution CT findings of varicella-zoster pneumonia. AJR 999;172:113–116.
[15.]
J.W. Gnann.
Varicella-zoster virus: Atypical Presentations and unsual complications.
JID, 186 (2002), pp. S91-S98
[16.]
E. Dahan, et al.
Varicella zoster infection and pulmonary complications.
Euro J Intern Med, 16 (2005), pp. 449-450
[17.]
C. Dehecq, et al.
Retrospective study of 106 cases of varicella in immunocompetent adults. Parameters associated with varicella pneumonia.
Med Mal Infect, (2008),
[18.]
M.A. Reynolds, et al.
Epidemiology of varicella hospitalizations in the United States, 1995–2005.
JID, 197 (2008), pp. S120-S126
[19.]
S. Chaves, et al.
Varicella disease among vaccinated persons: clinical and epidemiological characteristics, 1997–2005.
JID, 197 (2008), pp. S127-S131
[20.]
Whitley RJ. Varicella-zoster virus. In: Mandell GL, Bennett JE, Dolin R. Principles and practice of infectious diseases, 6th edition. Infectious Diseases and Their Etiologic Agents 133:1780–1786.
[21.]
M.N. Dizon, G. Matfin.
Fever and dyspnoea in a young man with rash.
Postgrad Med J, 75 (1999), pp. 251-253
Copyright © 2010. Sociedade Portuguesa de Pneumologia
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