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CC BY 4.0 · Avicenna J Med
DOI: 10.1055/s-0045-1802594
Case Report

Varicella Pneumonia with Deep Venous Thrombosis and Pulmonary Embolism as Rare Presentations for Male: Case Report

Mohammad Dallah
1   Department of Pulmonology, Syrian Board of Medical Specialties, Idlib, Syria
,
Ahmad Hmaideh
2   Department of Internal Medicine, Syrian Board of Medical Specialties, Idlib, Syria
3   Syrian Public Health Network, Syria
,
Yaser Hashoom
4   Department of Cardiology, Syrian Board of Medical Specialties, Idlib, Syria
,
Ammaar Kaesom
1   Department of Pulmonology, Syrian Board of Medical Specialties, Idlib, Syria
,
Nusima Gazhal
1   Department of Pulmonology, Syrian Board of Medical Specialties, Idlib, Syria
› Institutsangaben Funding None.
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Abstract

This case report presents the case of a middle-aged man who experienced a rare and severe presentation of varicella infection, with the development of varicella pneumonia and the rare complications of deep venous thrombosis, and a subsequent pulmonary embolism. Despite being immunocompetent, the patient's varicella infection resulted in an atypical and complex clinical course. The individual initially presented with a vesicopustular rash, fever, and fatigue, which progressed to severe hypoxia and dyspnea. Radiological findings revealed diffuse bilateral nodular consolidation consistent with varicella pneumonia. Although varicella pneumonia is well documented, its occurrence in immunocompetent individuals is uncommon. In the context of varicella infection, it is very rare, particularly in the absence of immunodeficiency and with no other risk factors, in a male patient. This case underscores the importance of maintaining a high index of clinical suspicion to promptly diagnose and treat potentially life-threatening complications associated with varicella infection in otherwise healthy individuals. Key learning points include the necessity of early recognition and intervention to mitigate severe complications and the potential need for thromboprophylaxis in varicella pneumonia patients and suggests the potential need for thromboprophylaxis in patients with varicella pneumonia to prevent thrombotic events.

Keywords

varicella pneumonia - deep venous thrombosis - pulmonary embolism - case report

Authors' Contributions

M.D. and A.H. wrote the manuscript. A.K., Y.H., and N.G. critically revised the manuscript. All the authors read and approved the final manuscript.


Consent for Publication

Written informed consent was obtained from the patient for publication and any accompanying images.


Ethical Approval

Ethical approval was not required for this case report at our institution, Faculty of Medicine at Damascus University, Damascus, Syria.




Publikationsverlauf

Artikel online veröffentlicht:
02. April 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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