Cerebral Venous Thrombosis and Acute Pulmonary Embolism following Varicella Infection

Varicella infection is caused by varicella-zoster virus (VZV) and commonly presents as a self-limiting skin manifestation in children. VZV also causes cerebral arterial vasculopathy and antibody-mediated hypercoagulable states leading to thrombotic complications in children, although there are very...

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Main Authors: Rashid Khan, Yasmeen Ajaz, Anoop Kumar Pandey, Khalid AlSaffar, Sunil Roy Thottuvelil Narayanan
Format: Article
Language:English
Published: SMC MEDIA SRL 2019-09-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/1171
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author Rashid Khan
Yasmeen Ajaz
Anoop Kumar Pandey
Khalid AlSaffar
Sunil Roy Thottuvelil Narayanan
author_facet Rashid Khan
Yasmeen Ajaz
Anoop Kumar Pandey
Khalid AlSaffar
Sunil Roy Thottuvelil Narayanan
author_sort Rashid Khan
collection DOAJ
description Varicella infection is caused by varicella-zoster virus (VZV) and commonly presents as a self-limiting skin manifestation in children. VZV also causes cerebral arterial vasculopathy and antibody-mediated hypercoagulable states leading to thrombotic complications in children, although there are very few such reports in adults. Postulated causal factors include vasculitis, direct endothelial damage, or acquired protein S deficiency secondary to molecular mimicry. These induced autoantibodies to protein S could lead to acquired protein S deficiency and produce a hypercoagulable state causing venous sinus thrombosis. Here we report the case of a 26-year-old man who presented with cortical venous sinus thrombosis and acute pulmonary embolism following varicella infection. Both conditions responded to anticoagulation treatment.
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spelling doaj.art-9e440c0f6d1a4088958b01907cb821262022-12-21T22:56:37ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942019-09-0110.12890/2019_0011711171Cerebral Venous Thrombosis and Acute Pulmonary Embolism following Varicella InfectionRashid Khan0Yasmeen Ajaz1Anoop Kumar Pandey2Khalid AlSaffar3Sunil Roy Thottuvelil Narayanan4Department of Internal Medicine, Belhoul Speciality Hospital, Dubai, UAEDepartment of Internal Medicine, Belhoul Speciality Hospital, Dubai, UAEDepartment of Radiology, Belhoul Speciality Hospital, Dubai, UAEDepartment of Neurology, Belhoul Speciality Hospital, Dubai, UAEDepartment of Cardiology, Belhoul Speciality Hospital, Dubai, UAEVaricella infection is caused by varicella-zoster virus (VZV) and commonly presents as a self-limiting skin manifestation in children. VZV also causes cerebral arterial vasculopathy and antibody-mediated hypercoagulable states leading to thrombotic complications in children, although there are very few such reports in adults. Postulated causal factors include vasculitis, direct endothelial damage, or acquired protein S deficiency secondary to molecular mimicry. These induced autoantibodies to protein S could lead to acquired protein S deficiency and produce a hypercoagulable state causing venous sinus thrombosis. Here we report the case of a 26-year-old man who presented with cortical venous sinus thrombosis and acute pulmonary embolism following varicella infection. Both conditions responded to anticoagulation treatment.https://www.ejcrim.com/index.php/EJCRIM/article/view/1171venous thrombosispulmonary embolismvaricella infectionprotein s deficiencyhypercoagulable state
spellingShingle Rashid Khan
Yasmeen Ajaz
Anoop Kumar Pandey
Khalid AlSaffar
Sunil Roy Thottuvelil Narayanan
Cerebral Venous Thrombosis and Acute Pulmonary Embolism following Varicella Infection
European Journal of Case Reports in Internal Medicine
venous thrombosis
pulmonary embolism
varicella infection
protein s deficiency
hypercoagulable state
title Cerebral Venous Thrombosis and Acute Pulmonary Embolism following Varicella Infection
title_full Cerebral Venous Thrombosis and Acute Pulmonary Embolism following Varicella Infection
title_fullStr Cerebral Venous Thrombosis and Acute Pulmonary Embolism following Varicella Infection
title_full_unstemmed Cerebral Venous Thrombosis and Acute Pulmonary Embolism following Varicella Infection
title_short Cerebral Venous Thrombosis and Acute Pulmonary Embolism following Varicella Infection
title_sort cerebral venous thrombosis and acute pulmonary embolism following varicella infection
topic venous thrombosis
pulmonary embolism
varicella infection
protein s deficiency
hypercoagulable state
url https://www.ejcrim.com/index.php/EJCRIM/article/view/1171
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AT yasmeenajaz cerebralvenousthrombosisandacutepulmonaryembolismfollowingvaricellainfection
AT anoopkumarpandey cerebralvenousthrombosisandacutepulmonaryembolismfollowingvaricellainfection
AT khalidalsaffar cerebralvenousthrombosisandacutepulmonaryembolismfollowingvaricellainfection
AT sunilroythottuvelilnarayanan cerebralvenousthrombosisandacutepulmonaryembolismfollowingvaricellainfection