MyMedR

Fulltext Varicella-zoster infection with secondary bacteremia and extensive facial abscesses

Lee KG, Cheng MO

Med J Malaysia, 2012 Oct;67(5):529.

Varicella-zoster (chickenpox) infection is a common infectious disease and generally considered to be selflimiting. However, severe bacterial complications associated with the disease have been reported. We describe a case of varicella-zoster infection with secondary Staphylococcus aureus bacteremia, preseptal orbital cellulitis and extensive facial abscesses. She was aggressively treated with intravenous antibiotics and repeated surgical drainage, and eventually made good recovery.

Matched MeSH terms: Chickenpox*

Concomitant dengue fever in Varicella zoster infection - A rare presentation

Shaiful Ehsan SM, Iskandar FO, Mohd Ashraf AR

Med J Malaysia, 2019 08;74(4):347-348.

PMID: 31424049

Varicella zoster infection is one of the self-limiting viral infections during childhood and dengue fever is an endemic infection in Malaysia, which commonly occurs in the form of nonspecific febrile illness at the initial stage. It is rare for the two viral infections to occur simultaneously. A case of dengue fever without warning sign in a five-year old girl was reported, with early symptoms of fever and vesicular rashes. She was clinically diagnosed with varicella zoster infection during the first visit. Surprisingly, she remained febrile even on day six of illness despite no new vesicular lesions on her skin. Due to suspicion of another infection, follow-up investigation was done and revealed isolated thrombocytopenia. This finding was confirmed with positive NS1Ag. A case of rare dengue fever concomitant with varicella zoster infection was reported.

Matched MeSH terms: Chickenpox/complications; Chickenpox/diagnosis*

Fulltext Chickenpox - a personal cross-cultural experience

Teng CL

Family Physician, 1996;9(3):23-24.

This article chronicles the popular health beliefs of the Malays and Chinese regarding chickenpox, as seen through the eyes of a doctor. The interplay of several factors, namely, a marriage of two major cultures, chickenpox in pregnancy, concurrence of two major festivals make this a unique study in medical socio-anthropology.

Matched MeSH terms: Chickenpox

Acute retinal necrosis complicating chicken pox in a healthy adult: a case report and review of literature

Tajunisah I, Reddy SC

Ann Ophthalmol (Skokie), 2007;39(1):57-62.

PMID: 17914207

We report a case of unilateral acute retinal necrosis (ARN) with marked vitritis and retinal necrosis leading to retinal breaks following chicken pox successfully treated with intravenous acyclovir followed by oral acyclovir, orbital floor triamcinolone injections to contain the inflammation, and barrier laser therapy to secure the retinal breaks with good visual outcome. This case is unusual in its severity and the novel use orbital floor triamcinolone therapy to contain ARN inflammation.

Matched MeSH terms: Chickenpox/complications*; Chickenpox/diagnosis*; Chickenpox/virology

Fulltext Aplasia Cutis Congenita as a Sole Manifestation of Congenital Varicella Syndrome

Leung AKC, Leong KF, Lam JM

Case Rep Pediatr, 2020;2020:6147250.

PMID: 32774973 DOI: 10.1155/2020/6147250

Aplasia cutis congenita following maternal varicella is well known. On the other hand, aplasia cutis congenita as the sole manifestation of congenital varicella syndrome is very rare. A perusal of the literature revealed only one case. We report two infants with aplasia cutis congenita as the sole manifestation of congenital varicella syndrome.

Matched MeSH terms: Chickenpox

Fulltext Varicella herpetica

Lowe GH, Somasundaram A

Malayan Medical Journal, 1936;11:227.

Matched MeSH terms: Chickenpox

Fulltext Varicella-zoster virus seroprevalence in healthcare workers in Kuala Lumpur, Malaysia

Sam IC, Tariman H, Chan YF, Bador MK, Yusof MY, Hassan H

Med J Malaysia, 2008 Dec;63(5):429-30.

PMID: 19803311 MyJurnal

Varicella-zoster virus (VZV) infections are a particular problem in healthcare settings. A survey of chickenpox was carried out amongst healthcare workers (HCWs) following potential ward exposures. A prior history of chickenpox was given by 61/98 (62.2%). Of 64 HCWs tested for VZV IgG, 10 (15.6%) were seronegative, indicating susceptibility. The sensitivity, specificity, positive predictive value, and negative predictive value of a history of prior chickenpox were 57.4%, 90%, 96.4%, and 31.0%, respectively. VZV screening of HCWs without a history of chickenpox, and vaccination of susceptible HCWs should be undertaken in this hospital.

Matched MeSH terms: Chickenpox/blood*; Chickenpox/epidemiology*; Chickenpox/virology

Fulltext A case of congenital chicken pox

Cosgrave AK, Samuel J

Malayan Medical Journal, 1934;9(1):68.

Matched MeSH terms: Chickenpox

Fulltext A case of herpes zoster coincident with chickenpox

O'Connor MP, Ponnampalam P

Malayan Medical Journal, 1931;6(1):25.

Matched MeSH terms: Chickenpox

Herpes zoster of gingiva in an older woman: a rare case report

Chopra A, Sivaraman K, Thomas BS

Gerodontology, 2017 Jun;34(2):280-283.

PMID: 27435832 DOI: 10.1111/ger.12246

OBJECTIVE: The aim of the article is to highlight the distinguishing features of secondary varicella gingival infection in an older women.

BACKGROUND: Herpes zoster is an acute sporadic, painful viral infection in older people caused by the reactivation of the latent varicella zoster virus. Herpes zoster affecting the gingiva without any dermal lesions is a rare pathological condition that mimics many intraoral vesiculobullous lesions. The ambiguous nature of this condition creates a diagnostic dilemma.

MATERIALS AND METHODS: A 58-year-old woman presented with an acute, unilateral and persistent burning sensation and pain in the gingiva with desqaumating vesicullobulous lesion.

RESULTS: The women was diagnosed with secondary varicella zoster infection.

CONCLUSION: Herpes zoster of the gingiva could manifest as painful desquamative vesicular lesions, pulpal or other painful neuralgic condition in older individuals which need careful diagnosis before formulating appropiate treatment plan.

Matched MeSH terms: Chickenpox

Fulltext Adult varicella pneumonia that responded to combined acyclovir and steroid therapy

Lau LG

Med J Malaysia, 1999 Jun;54(2):270-2.

PMID: 10972042

We describe a case of adult chickenpox which was complicated by severe varicella pneumonia, mild hepatitis and thrombocytopenia. The hepatitis and the thrombocytopenia were asymptomatic clinically and were diagnosed on biochemistry and blood count results. These eventually improved without specific interventions. The pneumonia, however, deteriorated rapidly despite the early commencement of oxygen supplementation, acyclovir and antibiotic. Subsequently, systemic corticosteroid therapy was initiated and the patient was ventilated in the intensive care unit. The patient eventually recovered.

Matched MeSH terms: Chickenpox/complications; Chickenpox/drug therapy*

Fulltext Seroprevalence of varicella-zoster virus in five US-bound refugee populations

Leung J, Lopez A, Mitchell T, Weinberg M, Lee D, Thieme M, et al.

J Immigr Minor Health, 2015 Feb;17(1):310-3.

PMID: 24271111 DOI: 10.1007/s10903-013-9946-x

Little is known about varicella-zoster virus (VZV) susceptibility in US-bound refugee populations, although published data suggest that VZV seroprevalence in these refugee populations may be lower than US populations. We describe VZV seroprevalence in five US-bound refugee groups: (1) Bhutanese in Nepal, (2) Burmese on the Thailand-Burma (Myanmar) border, (3) Burmese in Malaysia, (4) Iraqi in Jordan, and (5) Somali in Kenya. Sera were tested for presence of VZV IgG antibodies among adults aged 18-45 years. Overall VZV seroprevalence was 97% across all refugee groups. VZV seroprevalence was also high across all age groups, with seroprevalence ranging from 92-100% for 18-26 year-olds depending on refugee group and 93-100% for 27-45 year-olds. VZV seroprevalence was unexpectedly high in these five US-bound refugee groups, though may not reflect seroprevalence in other refugee groups. Additional studies are needed to better understand VZV seroprevalence in refugee populations over time and by region.

Matched MeSH terms: Chickenpox/ethnology*; Chickenpox/epidemiology

Adult varicella zoster infection complicated with streptococcal retrosternal abscess

Yap FBB, Kiung ST

South. Med. J., 2009 Jun;102(6):653-5.

PMID: 19434036 DOI: 10.1097/SMJ.0b013e3181a49a71

A 43-year-old lady with type 2 diabetes mellitus and bronchial asthma presented with varicella zoster infection, dyspnea, and neck fullness. An urgent computed tomography scan revealed a mediastinal abscess with superior vena cava thrombus. Blood, mediastinal pus, and swab from a vesiculopustule on the neck cultured group A beta hemolytic Streptococcus. She recovered with a combination of broad spectrum antimicrobials, antivirals, and surgical drainage. This case illustrates the rare occurrence of mediastinal abscess and acute superior vena cava obstruction caused by group A beta hemolytic Streptococcus complicating adult varicella zoster.

Matched MeSH terms: Chickenpox/complications*; Chickenpox/drug therapy; Chickenpox/microbiology

Fulltext A note on the racial incidence of chicken-pox in Kuala Lumpur during the years 1936-1940

Milne JC

Journal of the Malaya Branch of the British Medical Association, 1941;5(1):9-13.

Matched MeSH terms: Chickenpox

Congenital varicella syndrome

Lee, Eric K.H., Cheah, Irene G.S.

Malaysian Journal of Child Health, 1997;9(1):97-101.

MyJurnal

Congenital varicella syndrome is a rare outcome of early primary maternal varicella zoster infection. The neuromuscular anomalies, skeletal defects and skin lesions of such a case are described in our case report. The diagnosis of congenital varicella syndrome, the prenatal risk and management of primary maternal varicella infection in pregnancy are also discussed.

Matched MeSH terms: Chickenpox

Fulltext Herpes Zoster Ophthalmicus, Central Retinal Artery Occlusion, and Neovascular Glaucoma in an Immunocompetent Individual

Ahmad SS, Suan ALL, Alexander SM

J Ophthalmic Vis Res, 2019 3 2;14(1):97-100.

PMID: 30820294 DOI: 10.4103/jovr.jovr_65_17

Purpose: To report the unusual case of an immunocompetent individual with herpes zoster ophthalmicus who developed central retinal artery occlusion and subsequent neovascular glaucoma.

Case Report: A 40-year-old, immunocompetent patient was diagnosed with herpes zoster ophthalmicus and central retinal artery occlusion on initial presentation. Subsequently, he developed neovascular glaucoma.

Conclusion: There are a few case reports of central retinal artery occlusion developing after varicella zoster virus infection. However, a literature search found no reports of neovascular glaucoma following central retinal artery occlusion secondary to varicella zoster virus infection. The present case report indicates that neovascular glaucoma is a possible complication in such a scenario.

Matched MeSH terms: Chickenpox

Vision loss in an immunocompetent child post varicella infection: A case report

Lee SC, Ng M, Tan CL, Ting SL

Malays Fam Physician, 2020;15(1):54-57.

PMID: 32284807

Chickenpox may lead to several neurological complications. Optic neuritis is one of the complications which has rarely been described, especially in immunocompetent individuals. We report a case of an 11-year-old immunocompetent girl who presented with sudden onset bilateral vision loss three weeks after varicella eruption. Ophthalmic examination revealed bilateral optic disc edema. Diagnosis of bilateral optic neuritis secondary to varicella was established based upon the preceding medical history, supported with clinical and radiological findings.

Matched MeSH terms: Chickenpox

Fulltext Knowledge, attitude and vaccination status of varicella among students of Universiti Kebangsaan Malaysia (UKM)

Hesham R, Cheong JY, Mohd Hasni J

Med J Malaysia, 2009 Sep;64(3):257-62.

PMID: 20527284 MyJurnal

Varicella is a highly infectious disease that can lead to severe complications such as pneumonia, encephalitis and death. Vaccination is the best method to prevent the disease. The objective of this study was to assess the level of knowledge, attitude and vaccination status of varicella among UKM students. A cross sectional study involving pre-tested questionnaires was undertaken between February and April, 2005. Questionnaires were distributed and filled by the first and second year students from four faculties in UKM (n=879). The faculties included were divided into two categories: medical fields and non-medical fields. The results showed that the overall level of knowledge on varicella among respondents was intermediate. The score of knowledge was significantly higher among medical students (t = 10.9, p < 0.05) compared to non-medical students. The varicella vaccination coverage was low among UKM students (19.3%). The vaccination status was significantly higher among medical students compared to non-medical students (chi2 = 8.6, p < 0.05). Vaccination status of varicella among respondents had no association with the level of knowledge (chi2 = 2.42, p > 0.05).

Matched MeSH terms: Chickenpox Vaccine/immunology*

Fulltext Life threatening pancreatitis following varicella vaccination: cause, association or co-incidence?

Chan PWK, Goh AYT

Med J Malaysia, 2000 Dec;55(4):527-8.

PMID: 11221171

Matched MeSH terms: Chickenpox/prevention & control*

Fulltext Fatal haemorrhagic chickenpox complicating nephrotic syndrome

Gangaram HB, Cheong IK

Med J Malaysia, 1993 Dec;48(4):446-8.

PMID: 8183171

We report a 14 year old Indian-Muslim girl who developed a fulminant, disseminated and fatal varicella infection while receiving steroids for nephrotic syndrome. The terminal phase of her illness was complicated by a bleeding dyscrasia and circulatory collapse. Varicella infection in healthy children is a benign disease. However in neonates and immunosuppressed patients it may be severe and often fatal. There are many reports of fatalities occurring in cancer patients receiving chemotherapy, patients on immunosuppressives for asthma, haemolytic anaemia, rheumatic fever, and renal and bone marrow transplantation. Patients with nephrotic syndrome receiving cyclophosphamide treatment are at particular risk of developing severe chickenpox infection. To our knowledge, there has been only one report of fatal chickenpox infection in a child who received steroids for nephrotic syndrome. We report here a case of fatal haemorrhagic chickenpox complicating nephrotic syndrome.

Matched MeSH terms: Chickenpox/etiology*

Displaying publications 1 - 20 of 27 in total