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Case No : 1466 Date 2025-11-24
- Courtesy of Jiyoung Song Eui Jin Hwang / Seoul National University Hospital
- Age/Sex 31 / F
- Chief ComplaintFever, Crohn disease and systemic lupus erythematosus on steroid, methotrexate
Discussion
Diagnosis With Brief Discussion
- Diagnosis
- Varicella-Zoster pneumonia
- Radiologic Findings
- Brief Review
- Varicella-zoster virus (VZV) causes chickenpox in children. However, infection of VZV in adult immunocomprised patients or pregnant women can cause serious complications including pneumonia. Reported frequency of pneumonia in VZV infection is one of every 400 adulthood infections.
Symptoms of VZV pneumonia may include fever, cough, dyspnea, hemoptysis, tachypnea, and pleuritic chest pain. Characteristic skin rash can be an important clue for the diagnosis of VZV.
Chest CT findings of VZV pneumonia includes multiple small nodules (5 - References
- 1. Kim EA et al. Viral pneumonias in adults: Radiologic and pathologic findings. Radiographics 2002;22:S137-S149.
2. Koo HJ et al. Radiologic and CT features of viral pneumonia. Radiographics 2018;38:719-739. - Keywords
No. of Applicants : 73
- ▶ Correct Answer : 2/73, 2.7%
-
- - Kyoto University , Japan AKIHIKO SAKATA
- - , Korea (South) KYUNG HYUN WOO
- ▶ Correct Answer as Differential Diagnosis : 4/73, 5.5%
-
- - Osaka University , Japan AKINORI HATA
- - Japanese Red Cross Otsu Hospital , Japan JUN YOSHIDA
- - Yonsei University,Severance Hospital , Korea (South) SEO BUM CHO
- - Nara medical university , Japan HIROHIDE WATANABE
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