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Severe disseminated primary varicella in a patient on long term inhaled corticosteroids
Author(s) -
Pham James P.,
Beale Greta,
Gorji Mahdieh,
Thompson Benjamin,
AlSoufi Suhel,
Stone Emily
Publication year - 2022
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.1010
Subject(s) - medicine , pediatrics , vaccination , rash , chickenpox , pneumonitis , asthma , intensive care medicine , immunology , lung , virus
Disseminated primary varicella infection can carry risks of significant morbidity and mortality particularly in immunocompromised populations. Routine, funded childhood vaccination against varicella has significantly reduced associated hospitalization and deaths, however, uptake and efficacy among adults is unknown. We present a case of disseminated primary varicella infection (including rash, pneumonitis, hepatitis and thrombocytopenia) in an immunocompetent patient on long term inhaled corticosteroids for asthma. This case highlights potential risk factors for severe varicella which require further study in adults and raises the need to discuss vaccination in at risk groups including appropriate counselling in those who may be at higher risk.

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