The author presented a patient aged 30 affected by varicella who developed a specific varicella pneumonia as a complication of the basic disease. Clinically, when establishing the diagnosis, difficulties arose when it should be differentiated from bronchopneumonia induced by secondary bacterial infection. The accurate diagnosis depended on radiological finding. In specific varicella pneumonia radiological picture was not specific but was characteristic: diffusely disseminated nodular shadows were seen in both pulmonary wings in the reticularly strengthened bronchovascular drawing. This picture in addition to changes on the skin and mucosa typical for varicella and epidemiological picture was usually sufficient for making the diagnosis. Bacterial form usually showed the shadowness of segmental or lobar infiltration. Since specific varicella pneumonia as a complication of varicella in adults is a serious and exhausting disease and the treatment and prognosis depend on the establishment of accurate diagnosis on the basis of radiological finding, a good knowledge of these radiological changes has its diagnostic value and removes difficulties occurring in clinical differentiation of specific varicella pneumonia from nonspecific pneumonia induced by secondary bacterial infection.
[Varicella pneumonia]
[Category] 두창, 수두,
[Article Type] Case Reports
[Source] pubmed
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