RESUMO
The aim of this study is to describe epidemiology, patogénesis, pulmonary manifestations and Rx findings in adult patients with varicella pneumonia (VP). Four patients were studied. The diagnosis was established by clinical and radiologic criteria. All had fever , esanthem, 3 cough, 2 dyspnea. Chest X-ray showed interstitial micronodular pattern at bases. 1 case developed airspace consolidation by Staphylococcus aureus. 2 were admitted to ICU. The four received IV acyclovir. We concluded that adults patients with VP usually show nodular infiltrates, with favourable course.
Assuntos
Varicela/diagnóstico por imagem , Pneumonia Viral/diagnóstico por imagem , Radiografia Torácica , Tomografia Computadorizada por Raios X , Aciclovir/administração & dosagem , Aciclovir/uso terapêutico , Adulto , Fatores Etários , Antivirais/administração & dosagem , Antivirais/uso terapêutico , Varicela/tratamento farmacológico , Feminino , Herpesvirus Humano 1 , Humanos , Masculino , Pneumonia Viral/tratamento farmacológico , Fatores de Tempo , Resultado do TratamentoRESUMO
El propósito de este estudio es describir epidemiología, patogénesis, manifestaciones pulmonares y hallazgos radiológicos en pacientes adultos con neumonía varicelosa (NV). Presentamos a 4 pacientes adultos, el diagnóstico de establecido según clínica y radiología. Todos presentaron fiebre y exantema, 3 tos y 2 disnea. La radiología demostró patrón intersticial micronodular basal. 1 caso de sobreinfección por Staphilococcus aureus. 2 ingresaron en UCI. Todos recibieron tratamiento intravenoso con aciclovir. La NV, suele presentar infiltrados nodulares, siendo generalmente de curso favorable
The aim of this study is to describe epidemiology, patogénesis, pulmonary manifestations and Rx findings in adult patients with varicella pneumonia (VP). Four patients were studied. The diagnosis was established by clinical and radiologic criteria. All had fever , esanthem, 3 cough, 2 dyspnea. Chest X-ray showed interstitial micronodular pattern at bases. 1 case developed airspace consolidation by Staphylococcus aureus. 2 were admitted to ICU. The four received IV acyclovir. We concluyed that adults patients with VP usually show nodular infiltrates, with favourable course
Assuntos
Masculino , Feminino , Adulto , Humanos , Pneumonia/complicações , Pneumonia , Herpes Simples/diagnóstico , Exantema/diagnóstico , Aciclovir/uso terapêutico , Staphylococcus aureus/isolamento & purificação , Radiografia Torácica/métodos , Radiografia Torácica/tendências , Fatores de Risco , Dispneia/complicações , Dispneia/diagnóstico , Varicela/complicações , Varicela/diagnóstico , Diagnóstico DiferencialRESUMO
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