1/7. A case of varicella complicated by cellulitis and scarlet fever due to streptococcus pyogenes.We report a 4-year-old boy with cellulitis and scarlet fever due to streptococcal infection following the onset of varicella. He developed a painful ulcer and subcutaneous induration on the left shoulder and a small, light-red-colored rash on the trunk at approximately the same time as the development of vesicles over the entire body. Streptococcus pyrogenes was isolated from samples from the posterior intranasal space and the ulcer on the shoulder. The clinical symptoms improved with the administration of antibiotics and intravenous drip infusion, but it took approximately one month from the first visit for the subcutaneous induration to disappear and the ulcer to heal with epithelialization. The complication of secondary streptococcal infection in varicella is relatively rare in japan, but in Western countries there have been many reported cases of life-threatening necrotizing fasciitis and necrotizing pyomyositis due to secondary streptococcal infection following varicella. Close attention should be paid to streptococcal infection as a complication of varicella.- - - - - - - - - - ranking = 1keywords = varicella (Clic here for more details about this article) |
2/7. Varicella complicated by group A streptococcal facial cellulitis.An increase has been recently noted in the incidence of life-threatening group A beta-hemolytic streptococcal (GABHS) infections in children recovering from varicella. We report our experience with a patient who required pediatric intensive care unit admission because of a serious GABHS infection 1 week after the onset of varicella. Emergency physicians must look for this complication in patients with varicella remaining abnormally febrile and presenting unusual manifestations.- - - - - - - - - - ranking = 0.375keywords = varicella (Clic here for more details about this article) |
3/7. Varicella complicated by scarlet fever.We report a 3-year-old boy with varicella complicated by cellulitis and scarlet fever. He developed a typical rash of scarlet fever following the onset of varicella. streptococcus pyogenes was isolated from the ulcers due to varicella. The present case suggests that scarlet fever may rarely develop following varicella and should be considered in children with complicated varicella.- - - - - - - - - - ranking = 0.625keywords = varicella (Clic here for more details about this article) |
4/7. Varicella associated intracerebral hemorrhage in the absence of thrombocytopenia.A young woman with varicella complicated by streptococcal cellulitis developed an intracerebral bleed in the absence of thrombocytopenia, serious coagulopathy, or a detectable vascular lesion. We postulate that during the acute infection with varicella, a cerebral endothelial lesion was produced which later caused the intracerebral bleed.- - - - - - - - - - ranking = 0.25keywords = varicella (Clic here for more details about this article) |
5/7. Deep hand infection complicating chickenpox in an otherwise healthy infant.chickenpox is a common childhood infection, and complications are rare in the healthy child. This report describes a significant complication of varicella in an otherwise healthy infant.- - - - - - - - - - ranking = 0.125keywords = varicella (Clic here for more details about this article) |
6/7. Serious group A beta-hemolytic streptococcal infections complicating varicella.STUDY OBJECTIVE: To alert practicing emergency physicians to an important and possibly increasing relationship between life-threatening group A beta-hemolytic streptococcal (GABHS) infections and children recovering from varicella. DESIGN: A case series of six patients managed from January through March 1993. SETTING: A university-affiliated pediatric specialty emergency department. TYPE OF PARTICIPANTS: Six previously healthy immunocompetent children between 1 and 5 years of age seen in our ED over a nine-week period. RESULTS: Six children had onset of varicella two days to two weeks before developing a serious life-threatening GABHS infection. Children presented with clinical symptoms of invasive GABHS infection with bacteremia (one patient); streptococcal toxic shock syndrome with negative blood culture (two), pneumonia with pleural effusion and streptococcal toxic shock syndrome (one), pneumonia with pleural effusion (one), and pyomyositis of the thigh (one). Four of six patients required intensive care admissions and aggressive support of vital signs. All six survived. CONCLUSION: Emergency physicians should be aware of the association between varicella and serious GABHS infections and be prepared to recognize and aggressively manage serious complications should they occur.- - - - - - - - - - ranking = 0.875keywords = varicella (Clic here for more details about this article) |
7/7. Metacarpal osteomyelitis complicating varicella-associated cellulitis of the hand: report of 2 cases.Hematogenous osteomyelitis is a known complication of varicella. osteomyelitis accompanying adjacent soft tissue infection, however, has only been described once in the literature. We report 2 cases of metacarpal osteomyelitis complicating varicella-associated cellulitis of the hand. The cases illustrate that this diagnosis should be considered in a patient with varicella, soft tissue infection and lack of clinical improvement despite apparently appropriate therapy.- - - - - - - - - - ranking = 0.875keywords = varicella (Clic here for more details about this article) |