Breakthrough Varicella During Chemotherapy in Two Vaccinated Children With Acute Leukemia
Hayao Kosa1, Chigusa Oyama1, Shigeki Nakashima1
1Department of Pediatrics, Shimane University Faculty of Medicine, Izumo, JPN.
Cureus
|April 2, 2026
Summary
Breakthrough varicella (BTV) in immunocompromised children can present atypically and worsen rapidly. Early diagnosis and intravenous acyclovir treatment are crucial for favorable outcomes in these vulnerable patients.
Area of Science:
- Pediatric Oncology
- Infectious Diseases
- Immunology
Background:
- Breakthrough varicella (BTV) is defined as varicella occurring more than 42 days post-vaccination.
- BTV is typically milder than primary varicella, but its course in immunocompromised children is not well-defined.
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