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A case of chickenpox with multiple bacterial complications requiring surgical treatment

https://doi.org/10.22627/2072-8107-2022-21-3-61-64

Abstract

Chickenpox is a controlled infection, even a single vaccination effectively prevents the development of severe forms (up to 98%).

Purpose — to demonstrate a case of severe chicken pox in a child aged 3.8 years with secondary infection of the skin of the right subscapular region and subcutaneous fat (phlegmon of the trunk) of streptococcal etiology.

The diagnosis of varicella was confirmed by the detection of Varicella-Zoster virus DNA by PCR from the skin. Surgical treatment was performed — opening and drainage of phlegmon, purulent-serous discharge was obtained, sowing was performed, Streptococcus pyogenes was isolated.

The child received antibiotic therapy — cefepime sulbactam, amikacin, acyclovir, infusion therapy, local treatment.

Conclusions. The given clinical case demonstrates the development of a severe bacterial complication of chicken pox, which required surgical treatment and substantiates the need for vaccination against chicken pox and its possible complications.

About the Authors

O. V. Molochkova
Pirogov Russian National Research Medical University
Russian Federation

Moscow



O. B. Kovalev
Pirogov Russian National Research Medical University
Russian Federation

Moscow



P. Yu. Luzan
Children's City Clinical Hospital No. 9 named after G.N. Speransky
Russian Federation

Moscow



N. O. Ilyina
Children's City Clinical Hospital No. 9 named after G.N. Speransky
Russian Federation

Moscow



Sh. A. Ganiev
Children's City Clinical Hospital No. 9 named after G.N. Speransky
Russian Federation

Moscow



A. K. Konovalov
Children's City Clinical Hospital No. 9 named after G.N. Speransky
Russian Federation

Moscow



O. V. Shamsheva
Pirogov Russian National Research Medical University
Russian Federation

Moscow



N. Yu. Egorova
Pirogov Russian National Research Medical University
Russian Federation

Moscow



A. D. Zotova
Pirogov Russian National Research Medical University
Russian Federation

Moscow



A. L. Rossina
Pirogov Russian National Research Medical University
Russian Federation

Moscow



A. A. Korsunskiy
Children's City Clinical Hospital No. 9 named after G.N. Speransky
Russian Federation

Moscow



E. V. Galeeva
Children's City Clinical Hospital No. 9 named after G.N. Speransky
Russian Federation

Moscow



A. A. Guzhavina
Children's City Clinical Hospital No. 9 named after G.N. Speransky
Russian Federation

Moscow



A. V. Tebenkov
Children's City Clinical Hospital No. 9 named after G.N. Speransky
Russian Federation

Moscow



V. G. Shatalov
Children's City Clinical Hospital No. 9 named after G.N. Speransky
Russian Federation

Moscow



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Review

For citations:


Molochkova O.V., Kovalev O.B., Luzan P.Yu., Ilyina N.O., Ganiev Sh.A., Konovalov A.K., Shamsheva O.V., Egorova N.Yu., Zotova A.D., Rossina A.L., Korsunskiy A.A., Galeeva E.V., Guzhavina A.A., Tebenkov A.V., Shatalov V.G. A case of chickenpox with multiple bacterial complications requiring surgical treatment. CHILDREN INFECTIONS. 2022;21(3):61-64. (In Russ.) https://doi.org/10.22627/2072-8107-2022-21-3-61-64

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ISSN 2072-8107 (Print)
ISSN 2618-8139 (Online)