Acute respiratory failure on varicella pneumonia in Indonesian adult with chronic hepatitis B: A case report and review article.
Ann Med Surg (Lond) 2022;
80:104149. [PMID:
36045866 PMCID:
PMC9422185 DOI:
10.1016/j.amsu.2022.104149]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 07/05/2022] [Accepted: 07/06/2022] [Indexed: 12/22/2022] Open
Abstract
Background
Varicella pneumonia is a rare clinical manifestations and potentially lethal complications of varicella in a previously healthy adult.
Case presentation
An Indonesian male, 44 years old, Javanese ethnic, complained of progressive dyspnea two days. He had previously been contacting varicella from his daughter 3–4 days before dyspnea onset. He showed typical symptoms of varicella, such as fever and vesicles all over the body. He had been in good health despite having a chronic hepatitis B infection. Chest X-ray on admission revealed bilateral diffuse consolidation with air-bronchogram. Diagnosis of varicella pneumonia was based on typical varicella cutaneous, clinical and chest X-ray findings. We installed mechanical ventilatory support in the isolation ward and he received acyclovir and symptomatic treatment. Ventilatory support was removed on the 3rd day. He successfully recovered on the third day and uninstalled an endotracheal tube.
Discussion
The early and accurate diagnosis of varicella pneumonia was based on disease course and chest X-ray. Managing varicella pneumonia with acute respiratory failure was mechanical ventilator support (when needed), an antiviral, and other symptomatic treatment.
Conclusion
Varicella pneumonia is a rare and severe complication with a good prognosis if diagnosed and treated promptly.
Chronic hepatitis B increases the risk of varicella developing into acute respiratory failure.
Early diagnosis and prompt treatment give excellent outcome.
Ventilation mechanical support is a crucial intervention in acute respiratory failure.
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