Tubo-ovarian abscess as an initial presentation of varicella in 12 years old child; a case report
Nabeeha N Akram1, Shaymaa K Abdulqader2, Wassan N Mohammed3
1Department of Pediatrics, Mustansiriyah University, Al-Sakhra Intersection, Palestine Street, Baghdad 10064, Baghdad, Iraq.
Insights
Chickenpox (varicella) can present atypically. A 12-year-old girl experienced a tubo-ovarian abscess as the first sign of varicella zoster virus infection, resolving spontaneously without treatment.
Area of Science:
- Pediatrics
- Infectious Diseases
- Gynecology
Background:
- Varicella (chickenpox), caused by the varicella-zoster virus, is typically diagnosed clinically in immunocompetent children.
- Atypical rash presentations or non-cutaneous complications can pose diagnostic challenges.
Abstract:
Varicella (chickenpox) caused by varicella zoster virus is usually diagnosed clinically based on the typical presentation of fever and vesicular rash in immunocompetent children. However, atypical sites of the rash or non-cutaneous suppurative complications can cause a diagnostic dilemma. We report a tubo-ovarian abscess as an initial presentation of chickenpox in a 12-year-old female, a novel and unrecognized presentation of varicella in childhood. Unlike previously reported cases with varicella associated abscess that treated by intravenous antibiotics and surgical drainage, the current patient did not receive any medical or surgical therapy and spontaneous resolution of the abscess radiologically confirmed on serial follow up with imaging.
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