CURRENT COURSE OF CHICKENPOX (CASE REPORT)

Abstract

The urgency of the problem associated with chickenpox lies in its widespread prevalence, high rates of morbidity and the risk of developing severe forms and complications leading to fatal outcomes. This disease is considered to be pediatric, but adults can also get infected with this infection, and the disease in adults has a more severe form. Many diseases change their course a little over time. The purpose is to present a case report describing an atypical course of chickenpox. Materials and methods. A retrospective analysis of 23 case histories of patients diagnosed with chickenpox (typical course, mild and moderate severity) was carried out on the basis of LLC ""Doctor with You" Medical Center" of the Chuvash Republic of Cheboksary. One clinical case of an atypical course of the disease is described. Study results. During a retrospective analysis of 23 case histories of patients diagnosed with chickenpox, it was noted that 9 patients with uncomplicated form of the disease had a rash not only on the body, the scalp, but on their palms and feet as well. The above clinical case describes the onset of rash on the 2nd day of the disease in a girl aged 9 years. On the 3rd day of the disease, rash appeared on the palms and feet. The child was examined by a pediatrician on the 7th day of the disease at home. To confirm the diagnosis, in addition to general clinical tests, an enzyme immunoassay was administered to determine antibodies to varicella-zoster virus IgM and IgG. On the basis of complaints, epidemiological history, objective and laboratory data, the diagnosis was made: chickenpox, typical course, mild form. Symptomatic treatment was administered for the patient. Conclusions. According to the Clinical recommendations (treatment protocol) for providing medical care to children with chickenpox, rash on the palms and feet in chickenpox refers to a severe form of the disease, but currently such rash can be found in patients suffering from the mild form of the disease. The atypical nature of the rash is possible to be due to variability of the virus, which requires further study. Due to the fact that the disease remains one of the most widespread, it is necessary to consider the issue of including vaccination against chickenpox in the calendar of preventive vaccinations in the Russian Federation.