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Updated: May 13, 2026

Microbiological Rapid On-Site Evaluation for Pulmonary Infectious Diseases
Published on: March 1, 2024
An ICU patient with spots and a peculiar pneumonia
Patricia A H Hamers1, Steven F T Thijsen, René van der Griend
1Department of Internal Medicine, Diakonessenhuis Utrecht, Utrecht, The Netherlands.
Abstract:
This is the first report of varicella zoster virus (VZV) pneumonia in an adult patient treated with rituximab because of autoimmune haemolytic anaemia and it illustrates that a VZV infection should be considered when an immunocompromised patient develops pulmonary symptoms, even in the absence of cutaneous lesions. It also depicts the importance of performing varicella serology in patients receiving multiple immunosuppressive agents.
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