Unseen face of varicella-zoster infection in adults.
Varicella infection is common in children caused by varicella-zoster virus (VZV). VZV is known to cause cerebral arterial vasculopathy and antibody-mediated hypercoagulable state leading to thrombotic complications in children. Such complications in adults are very rare. We report three cases that represent the unseen face of primary varicella infection in adults. Simultaneous involvement of cortical venous sinus thrombosis and deep vein thrombosis leading to clot in right atrium and pulmonary embolism in first case; cortical venous sinus thrombosis in second case; and deep vein thrombosis in third case. Early diagnosis and management can help prevent associated morbidity and mortality.
Department of Critical Care Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Gunchan
G
Paul
Department of Neurology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Birinder S
BS
Paul
Department of Neurology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Gagandeep
G
Singh
Acquired protein-S deficiency; cortical venous sinus thrombosis; deep vein thrombosis; hypercoagulability; pulmonary embolism; varicella-zoster infection