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A spell of chicken-pox on a cancer patients' ward

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Summary

Second episodes of varicella after a definite primary exposure to chicken-pox are well known in immunosuppressed children. We report an outbreak in adult cancer patients. This observation suggests that there is also a higher risk of varicella infection in immunosuppressed adults. As there is a trend for a pronounced severity of chicken-pox in patients receiving anticancer drugs or suffering from immunosuppressive diseases, the prophylactic use of varicella zoster immune globulin in adult patients has to be discussed, especially as positive experiences with children were recently gained. Following manifestation, therapy with systemic aciclovir seems to be effective.

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References

  1. Weller TH, Witton HM, Bell EJ (1958) Etiologic agents of varicella and herpes zoster: isolation, propagation and cultural characteristics in vitro. J Exp Med 108:843–868

    Google Scholar 

  2. Taylor-Robinson D (1959) Chicken pox and herpes zoster III: Tissue culture studies. Br J Exp Pathol 40:521–532

    Google Scholar 

  3. Gold E (1965) Characteristics of herpes zoster and varicella viruses propagated in vitro. J Immunol 95:683–691

    Google Scholar 

  4. Dolin R, Reichmann RC, Mazur MD, Whitley RJ (1978) Herpes-zoster-varicella infection in immunosuppressed patients. Ann Intern Med 89:375–388

    Google Scholar 

  5. Schimpf S, Serpick A, Stoler B, Rumack B, Mellin H, Joseph JM, Block J (1972) Varicella zoster infections in patients with cancer. Ann Intern Med 75:241–254

    Google Scholar 

  6. Arvin AM, Pollard RB, Rasmussen LE, Merigan TC (1980) Cellular and humoral immunity in the pathogenesis of recurrent herpes virus infections in patients with lymphoma. J Clin Invest 65:869–878

    Google Scholar 

  7. Garland J (1943) Varicella following exposure to herpes zoster. N Engl J Med 228:336–337

    Google Scholar 

  8. Goffinett DR, Glatstein EJ, Merigan TC (1972) Herpeszoster-varicella infections and lymphoma. Ann Intern Med 76:235–240

    Google Scholar 

  9. Feldman S, Walter TH, Daniel CB (1975) Varicella in children with cancer: seventy-seven cases. Pediatrics 56:388–397

    Google Scholar 

  10. Cheatham WJ, Weller TH, Dolan TF Jr, Dower JC (1956) Varicella — report of 2 fatal cases with necropsy, virus isolation and serologic studies. Am J Pathol 32:1015–1028

    Google Scholar 

  11. Myers M (1979) Viremia caused by varicella zoster virus: association with malignant progressive varicella. J Infect Dis 140:229–233

    Google Scholar 

  12. Feldhoff CM, Balfour HH, Simmono RL, Najarian JS, Mauer MS (1981) Varicella in children with renal transplants. J Pediatr 98:25–30

    Google Scholar 

  13. Zaia JA, Levin MJ, Preblud SR, Leszcynski J, Wright GG, Ellis RJ, Curtis AC, Valerio MA, Le Gore J (1983) Evaluation of varicella-zoster immune globulin: protection of immunosuppressed children after household exposure to varicella. J Infect Dis 147:737–743

    Google Scholar 

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Eckstein, R., Loy, A. & Jehn, U. A spell of chicken-pox on a cancer patients' ward. Klin Wochenschr 62, 387–389 (1984). https://doi.org/10.1007/BF01742293

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  • DOI: https://doi.org/10.1007/BF01742293

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