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Varicella gangrenosa
D D Kidney1, J B Watson, N Nisar
1Cork Regional Hospital, Eire.
Archives of Disease in Childhood
|April 1, 1988
Insights
Varicella gangrenosa in a child can lead to serious complications like disseminated intravascular coagulation and deep vein thrombosis. Prompt treatment with steroids and heparin resulted in a full recovery.
Area of Science:
- Pediatrics
- Hematology
- Infectious Diseases
Background:
- Varicella gangrenosa is a severe bacterial superinfection of varicella lesions.
- Disseminated intravascular coagulation (DIC) is a life-threatening condition characterized by widespread clotting and bleeding.
Observation:
- A four-year-old girl presented with clinical signs of varicella gangrenosa.
- Hematological investigations revealed evidence of disseminated intravascular coagulation.
Findings:
- The patient subsequently developed a unilateral deep venous thrombosis (DVT).
- Treatment involved oral corticosteroids and intravenous heparin administration.
Implications:
- This case highlights the potential for severe thrombotic complications in varicella gangrenosa.
- Early recognition and aggressive management of DIC and DVT are crucial for favorable outcomes in pediatric patients.
- Highlights the importance of considering thrombotic events in severe varicella infections.
Abstract:
A four year old girl presented with varicella gangrenosa, and haematological investigations showed a disseminated intravascular coagulation. The child subsequently developed a unilateral deep venous thrombosis. She was treated with oral steroids and intravenous heparin and made a full recovery.