Disseminated varicella presenting as acute abdominal pain nine days before the appearance of the rash.
We report a patient presenting with severe epigastric pain and diffuse abdominal tenderness, with negative imaging and endoscopic evaluation. During hospitalization, the patient developed confusion, seizures, pneumonia, anemia and thrombocytopenia. A hemorrhagic rash appeared on day nine of admission, with serology and skin biopsy confirming a diagnosis of hemorrhagic varicella.
American University of Beirut Medical Center, Riad El Solh 11072020, Beirut, Lebanon.
Maher M
MM
Balkis
Samer
S
Ghosn
Ala I
AI
Sharara
Samir F
SF
Atweh
Souha S
SS
Kanj
D015746:Abdominal Pain / Q000209:etiology*; D000212:Acyclovir / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D002644:Chickenpox / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003221:Confusion / Q000821:virology; D005076:Exanthema / Q000209:etiology*; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000150:complications; D008875:Middle Aged
D000998:Antiviral Agents; D000212:Acyclovir