Abstract
Varicella pneumonia in an immunocompromised adult: Not always fatal !
Highlights
Chickenpox is a very common and usually mild rash disease in healthy children
A 48-year-old male patient followed for stage IV Hodgkin lymphoma treated by the BEACOPPR protocol presented to our department for cough, fever, dyspnea, generalized necrotic vesicular rash, and malaise evolving 5 days before
More than 90% of adult cases of varicella pneumonia occur in patients with lymphoma or other immunocompromising conditions
Summary
Chickenpox is a very common and usually mild rash disease in healthy children. In adults especially immunocompromised, its course may be punctuated by serious complications such as varicella pneumonia [1]. We report a case of pneumonia varicella with Hodgkin lymphoma under chemotherapy. A 48-year-old male patient followed for stage IV Hodgkin lymphoma treated by the BEACOPPR protocol presented to our department for cough, fever, dyspnea, generalized necrotic vesicular rash, and malaise evolving 5 days before. Physical examination showed diffuse maculopapular to vesicular lesions with an erythematous halo with crusting (Fig. 1). He didn’t reveal a previous chickenpox history. Chest radiography demonstrated multiple bilateral micronodular and reticulonodular opacities, diffuse throughout the lungs. It revealed left pleural effusion related to his Hodgkin lymphoma (Fig. 2). Varicella pneumonia in an immunocompromised adult: Not always fatal !
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