Varicella gangrenosum in adult: a fatal chickenpox complication.

Authors:
Samarth Agarwal
Samarth Agarwal
Kothiwal Dental College and Research Centre
India
Anamika Sharma
Anamika Sharma
Indian Institute of Chemical Biology
India
Dr. Manoj Kumar, PhD
Dr. Manoj Kumar, PhD
Indian oil R&D
Senior Research Manager
India

BMJ Case Rep 2019 Apr 4;12(4). Epub 2019 Apr 4.

Urology, King George's Medical University, Lucknow, Uttar-Pradesh, India.

Varicella gangrenosum is a gangrenous ulceration of varicella lesions involving the skin and soft tissues of the body. The term was coined more than 100 years ago. This occurs due to superimposed bacterial infection. The presentation of primary varicella in adults is more severe with catastrophic systemic complications as compared with children. These complications include necrotising fasciitis, disseminated intravascular coagulation, wet/dry gangrene and death, as was seen in our case. Survival is dependent on early diagnosis and treatment. Adequate antibiotic treatment and particularly early radical surgical debridement should be the cornerstone of management. Less than 10 such cases are reported in the literature.

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22636
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http://dx.doi.org/10.1136/bcr-2018-226363DOI Listing
April 2019
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(Supplied by CrossRef)
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Clin Exp Dermatol 2007
Necrotising soft tissue infections as a complication of chickenpox
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Singapore Med J 1995

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