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[Varicella is not always benign]
Anass Ayyad1, Maria Rkain1, Abdeladim Babakhouya1
1Service de Pédiatrie, Centre Hospitalier Universitaire Mohamed VI, Faculté de Médecine et de Pharmacie, Université Mohammed Premier, Oujda, Maroc.
Insights
Varicella, a common childhood illness caused by the varicella-zoster virus, can lead to serious complications. This report details two severe cases, highlighting the need for awareness of potential risks beyond typical outcomes.
Area of Science:
- Pediatrics
- Infectious Diseases
- Neurology
Background:
- Varicella (chickenpox), caused by the varicella-zoster virus, is typically a benign childhood illness.
- However, severe complications, including bacterial infections and neurological issues, can occur.
- Recent studies indicate an increase in varicella complications, contributing to pediatric hospitalizations.
Abstract:
Varicella is a rash illness caused by the varicella-zoster virus. It mainly affects children with usually a benign outcome. However, several complications of variable severity can be observed including bacterial infectious complications and neurological complications. We report two cases of complicated varicella. Case 1: 5 month old baby with no previous pathological history presenting with a rash composed of vesicles and pustules lasting for six days. Symptoms worsened the day before his admission to our Department due to respiratory distress. Case 2: 7-Year old girl admitted to our Department due to simple convulsion. Clinical examination showed generalized varicella scars and cerebellar ataxia. Although varicella is a common, in most cases benign viral disease, several studies have recently reported a recrudescence of complications, which appear to be responsible for 0.2-1.5% of the causes of hospitalization in children with varicella.
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