title: A case for varicella vaccination in the immunosuppressed.
abstract: A middle-aged man with long-standing Crohn disease maintained in remission on low-dose immunosuppression presented with abdominal pain. Over the following few days he developed a vesicular rash, became dyspnoeic, confused and had two seizures. Despite high-dose intravenous aciclovir, he died. Disseminated varicella zoster virus, the cause of his death, could potentially have been prevented had he received varicella vaccination at an earlier stage.
authors.affiliation: Royal Free Hospital NHS Trust, Pond Street, London NW3 2XA, UK.
authors.forename: Michael Vaclav
authors.initials: MV
authors.lastname: Holmes
authors.forename: Sowsan F
authors.initials: SF
authors.lastname: Atabani
authors.forename: Nasser
authors.initials: N
authors.lastname: Khan
authors.forename: Kate
authors.initials: K
authors.lastname: Steiner
authors.forename: Tanzina
authors.initials: T
authors.lastname: Haque
authors.forename: Gabrielle
authors.initials: G
authors.lastname: Slapak