[Disseminated intravascular coagulation in chickenpox. Report of a case in a child]

L Tucciarone1, A Tomassini, A Colasanti

  • 1Istituto di Clinica Pediatrica, Università degli Studi La Sapienza, Rome, Italy.

Minerva Pediatrica
|December 12, 2001
PubMed

Insights

Chickenpox (Varicella-Zoster virus) can cause severe disseminated intravascular coagulation in healthy children. This case highlights the importance of not underestimating chickenpox complications and considering antiviral therapy and vaccination.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Hematology

Background:

  • Chickenpox, caused by the Varicella-Zoster virus, is common in childhood.
  • Disseminated intravascular coagulation (DIC) is a rare but serious complication.
  • Immunocompetent children are generally considered low-risk for severe varicella complications.

Observation:

  • A healthy, immunocompetent five-year-old boy developed severe DIC during a chickenpox infection.
  • Clinical manifestations included macroscopic hematuria, necrotic purpura, and cerebrovascular thrombosis.
  • The patient experienced a complete recovery despite the severity of DIC.

Findings:

  • This case demonstrates that severe DIC can occur in low-risk children with chickenpox.
  • Varicella-Zoster virus infection can lead to life-threatening hematological emergencies.
  • Prompt recognition and management are crucial for favorable outcomes.

Implications:

  • Chickenpox should not be underestimated, even in healthy children.
  • Further data on the population-level impact of chickenpox complications are needed.
  • This supports the debate on the benefits of early antiviral treatment and Varicella-Zoster virus vaccination.

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