Öz
Varicella, çocukluk çağı bulaşıcı hastalıklarındandır. Erişkinde görüldüğünde ciddi komplikasyonlarla seyredebilir. Pnömoni, erişkin çağında varicella infeksiyonunun en ciddi komplikasyonlarından biridir ve yüksek mortalite ile seyreder. Yoğun bakımda izlem gereken ve mekanik ventilator ihtiyacı gösteren vakalarda mortalite %50 olarak bildirilmektedir. Sunulan olgu pnömoni tanısı ile yoğun bakım ünitesinde takip edilirken varicella pnömonisi tespit edilmiştir. Bu olgudaki tanı ve tedavi yaklaşımımız literatürdeki bilgilerle beraber sunulmuştur.
Anahtar Kelimeler
Kaynakça
- Kaneko T, Ishigatsubo Y. Varicella pneumonia in adults. In- tern Med. 2004; 43,1105–6.
- Brisso M, Edmund JW, Gay JN, et al. Deaths from chicken- pox in adults are decreasing. BMJ 2002;324:609.
- Poltkin SA. Clinical and pathogenetic aspects of varicella- zoster. Postgrad Med J 1985;61:Suppl. 4, 7–14.
- El-Daher N, Magnussen CR, Betts RF. Varicella pneumoni- tis: clinical presentation and experience with asiklovir treatment in immunocompromised adults. Int J Infect Dis 1998;2.147–51.
- Rose RM, Wasserman AS, Weiser WY, et al. Deficient re- sponses of pulmonary macrophages from healthy smokers to antiviral lymphokines in vitro. J Infect Dis 986;154:611– 18.
- Harger JH, Ernest JM, Thurnau GR, et al. Risk factors and outcome of varicella-zoster virus pneumonia in pregnant women. J Infect Dis 2002;185:422–7.
- Van der Meer JW, Thompson J, Tan WD, et al. Treat- ment of chickenpox pneumonia with asiklovir. Lancet 1980;2.473–4.
- Mer M, Richards AG. Corticosteroids in life-threatening va- ricella pneumonia. Chest 1998;114:426–31.
- Zaia JA, Levin MJ, Preblud SR, et al. Evaluation of varicel- la-zoster immune globulin: protection of immunosupressed children after household exposure to varicella. J Infect Dis 1983;147:737–43.
- Watson B, Seward J, Yang A, et al. Postexposure effective- ness of varicella vaccine. Pediatrics 2000;105:84–8.
Öz
Varicella is one of the most contagious diseases of childhood. Whenever varicella is seen in adults, it can cause serious complications. Pneumonia is one of the most serious complications of varicella during adulthood and it has a high mortality rate. Cases of varicella pneumonia which need mechanical ventilation in intensive care unit, have %50 of mortality rate. This report presents a patient who was diagnosed as varicella pneumonia in our intensive care unit. Our treatment and diagnostic approach is presented together with actual literature.
Anahtar Kelimeler
Kaynakça
- Kaneko T, Ishigatsubo Y. Varicella pneumonia in adults. In- tern Med. 2004; 43,1105–6.
- Brisso M, Edmund JW, Gay JN, et al. Deaths from chicken- pox in adults are decreasing. BMJ 2002;324:609.
- Poltkin SA. Clinical and pathogenetic aspects of varicella- zoster. Postgrad Med J 1985;61:Suppl. 4, 7–14.
- El-Daher N, Magnussen CR, Betts RF. Varicella pneumoni- tis: clinical presentation and experience with asiklovir treatment in immunocompromised adults. Int J Infect Dis 1998;2.147–51.
- Rose RM, Wasserman AS, Weiser WY, et al. Deficient re- sponses of pulmonary macrophages from healthy smokers to antiviral lymphokines in vitro. J Infect Dis 986;154:611– 18.
- Harger JH, Ernest JM, Thurnau GR, et al. Risk factors and outcome of varicella-zoster virus pneumonia in pregnant women. J Infect Dis 2002;185:422–7.
- Van der Meer JW, Thompson J, Tan WD, et al. Treat- ment of chickenpox pneumonia with asiklovir. Lancet 1980;2.473–4.
- Mer M, Richards AG. Corticosteroids in life-threatening va- ricella pneumonia. Chest 1998;114:426–31.
- Zaia JA, Levin MJ, Preblud SR, et al. Evaluation of varicel- la-zoster immune globulin: protection of immunosupressed children after household exposure to varicella. J Infect Dis 1983;147:737–43.
- Watson B, Seward J, Yang A, et al. Postexposure effective- ness of varicella vaccine. Pediatrics 2000;105:84–8.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Araştırma Yazısı |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Haziran 2010 |
| Yayımlandığı Sayı | Yıl 2010 Cilt: 1 Sayı: 2 |