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Streptococcus pulmonary empyema after varicella infection in a serologically immunocompetent boy
Author(s) -
Yamaguchi Hiroshi,
Nagumo Kiyoshi,
Sasaki Daisuke,
Aoyagi Hayato,
Kato Hiroaki,
Narita Yoshiaki,
Tamura Takuya,
Kosugiyama Kiyotaka,
Nakashima Taiji,
Kinugawa Yoshikazu
Publication year - 2014
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12300
Subject(s) - medicine , empyema , pharyngitis , pleural effusion , rash , varicella zoster virus , pediatrics , streptococcus pneumoniae , virus , immunology , dermatology , surgery , antibiotics , microbiology and biotechnology , biology
Varicella zoster virus ( VZV ) is the etiologic agent of varicella, and it remains common among children in J apan due to low vaccination rates. It can cause a variety of serious and life‐threatening complications. Generally, the most frequent complication of varicella in healthy children is bacterial superinfection, but empyema after VZV infection is a rare condition. This case report describes a previously healthy 21‐month‐old boy who attended nursery school with a recent varicella and group A β‐hemolytic streptococcus ( GABHS) pharyngitis outbreak and who presented with a 7 day history of vesicular rash along with progressive fever. Due to continued mild cough and prolonged fever, however, chest radiography was done, which showed a right pleural effusion. Further computed tomography showed a right pulmonary empyema, and purulent material was drained and eventually grew GABHS . This report hereby describes the development of pleural empyema caused by GABHS after VZV infection in a serologically immunocompetent patient.