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Pneumonia por varicela associada com síndrome da angústia respiratória aguda: relato de dois casos / Varicella pneumonia complicated with acute respiratory distress syndrome: two cases report
Moreno, Marcelo; Castelão, Ricardo; Peres, Susana Orrico; Lobo, Suzana Margareth.
  • Moreno, Marcelo; FAMERP. São José do Rio Preto. BR
  • Castelão, Ricardo; FAMERP. São José do Rio Preto. BR
  • Peres, Susana Orrico; FAMERP. São José do Rio Preto. BR
  • Lobo, Suzana Margareth; FAMERP. São José do Rio Preto. BR
Rev. bras. ter. intensiva ; 19(1): 113-117, jan.-mar. 2007. ilus, tab
Article in Portuguese | LILACS | ID: lil-466777
RESUMO
JUSTIFICATIVA E

OBJETIVOS:

A varicela é uma doença exantemática causada pela infecção primária do vírus varicela zoster (VVZ). A pneumonia pelo VVZ complicada com a síndrome da angústia respiratória aguda (SARA) é rara e associa-se a altas taxas de morbimortalidade. O objetivo deste estudo foi apresentar dois casos de pneumonia por varicela que evoluíram com SARA e outras disfunções orgânicas. RELATO DOS CASOS Paciente de 15 anos, imunocomprometido com a síndrome da imunodeficiência adquirida (SIDA) e uma paciente do sexo feminino imunocompetente, foram admitidos na UTI com quadro clínico de varicela, SARA, trombocitopenia e acidose graves. Além disso, disfunção cardiovascular e falência renal ocorreram no primeiro e segundo casos, respectivamente. Foram tratados com aciclovir além de ventilação mecânica protetora.

CONCLUSÕES:

Os dois casos de pneumonia por varicela, que apresentaram SARA e disfunções de múltiplos órgãos, obtiveram boa evolução clínica.
ABSTRACT
BACKGROUNG AND

OBJECTIVES:

Varicella is an exantematic disease caused by varicella-zoster virus. Varicella pneumonia complicated with acute respiratory distress syndrome (ARDS) is very rare in adults and is associated with high morbimortality. We report two cases of ARDS secondary to varicella-zoster virus pneumonia. CASES REPORT We report two cases of ARDS and multiple organ dysfunction syndrome (MODS) secondary to varicella-zoster virus pneumonia. A 15-year-old man with human immunodeficiency virus (HIV) infection and a 29-year-old immunocompetent female were admitted in the ICU with primary varicella infection and pneumonia. Both cases progressed towards ARDS, severe thrombocytopenia and acidosis. In addition cardiovascular and renal failure occurred in the first and second patients, respectively. Treatment consisted of immediate administration of intravenous acyclovir and a lung-protective ventilation strategy.

CONCLUSIONS:

Both cases of varicella-zoster pneumonia, complicated with ARDS and MODS, had a favourable outcome.
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Pneumonia / Respiratory Distress Syndrome / Chickenpox / Acquired Immunodeficiency Syndrome Limits: Adolescent / Adult / Female / Humans / Male Language: Portuguese Journal: Rev. bras. ter. intensiva Journal subject: Critical Care Year: 2007 Type: Article Affiliation country: Brazil Institution/Affiliation country: FAMERP/BR

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Full text: Available Index: LILACS (Americas) Main subject: Pneumonia / Respiratory Distress Syndrome / Chickenpox / Acquired Immunodeficiency Syndrome Limits: Adolescent / Adult / Female / Humans / Male Language: Portuguese Journal: Rev. bras. ter. intensiva Journal subject: Critical Care Year: 2007 Type: Article Affiliation country: Brazil Institution/Affiliation country: FAMERP/BR