Severe disseminated primary varicella in a patient on long term inhaled corticosteroids

Abstract 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 efficac...

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Main Authors: James P. Pham, Greta Beale, Mahdieh Gorji, Benjamin Thompson, Suhel Al‐Soufi, Emily Stone
Format: Article
Language:English
Published: Wiley 2022-09-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.1010
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author James P. Pham
Greta Beale
Mahdieh Gorji
Benjamin Thompson
Suhel Al‐Soufi
Emily Stone
author_facet James P. Pham
Greta Beale
Mahdieh Gorji
Benjamin Thompson
Suhel Al‐Soufi
Emily Stone
author_sort James P. Pham
collection DOAJ
description Abstract 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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spelling doaj.art-daea4c98e2ba4e10b9e3648a37bb09172022-12-22T02:16:19ZengWileyRespirology Case Reports2051-33802022-09-01109n/an/a10.1002/rcr2.1010Severe disseminated primary varicella in a patient on long term inhaled corticosteroidsJames P. Pham0Greta Beale1Mahdieh Gorji2Benjamin Thompson3Suhel Al‐Soufi4Emily Stone5Department of Thoracic Medicine and Lung Transplantation St Vincent's Hospital Sydney, School of Clinical Medicine, UNSW Medicine and Health St Vincent's Hospital Darlinghurst New South Wales AustraliaDepartment of Thoracic Medicine and Lung Transplantation St Vincent's Hospital Sydney, School of Clinical Medicine, UNSW Medicine and Health St Vincent's Hospital Darlinghurst New South Wales AustraliaDermatology Department Liverpool Hospital Sydney New South Wales AustraliaDermatology Department Liverpool Hospital Sydney New South Wales AustraliaIntensive Care Unit St Vincent's Hospital Sydney New South Wales AustraliaDepartment of Thoracic Medicine and Lung Transplantation St Vincent's Hospital Sydney, School of Clinical Medicine, UNSW Medicine and Health St Vincent's Hospital Darlinghurst New South Wales AustraliaAbstract 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.https://doi.org/10.1002/rcr2.1010asthmalong term inhaled corticosteroidsvaricella
spellingShingle James P. Pham
Greta Beale
Mahdieh Gorji
Benjamin Thompson
Suhel Al‐Soufi
Emily Stone
Severe disseminated primary varicella in a patient on long term inhaled corticosteroids
Respirology Case Reports
asthma
long term inhaled corticosteroids
varicella
title Severe disseminated primary varicella in a patient on long term inhaled corticosteroids
title_full Severe disseminated primary varicella in a patient on long term inhaled corticosteroids
title_fullStr Severe disseminated primary varicella in a patient on long term inhaled corticosteroids
title_full_unstemmed Severe disseminated primary varicella in a patient on long term inhaled corticosteroids
title_short Severe disseminated primary varicella in a patient on long term inhaled corticosteroids
title_sort severe disseminated primary varicella in a patient on long term inhaled corticosteroids
topic asthma
long term inhaled corticosteroids
varicella
url https://doi.org/10.1002/rcr2.1010
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