Chickenpox is a common disease worldwide caused by the Varicella Zoster Virus (VZV) as a causative agent with a prominent contagious property causing severe itching and rash. The secondary viremia results in itching skin lesions. Forming an entrance gate, these vesicles lead to secondary infections.
A 15 months old male infant, referred to the emergency ward with swollen neck and skin rash throughout the body, was admitted to the Pediatric Intensive Care Unit. Respiratory rate was 26/min, body temperature was 37oC, and pulse was 132/min. Pathological examination findings were facial edema and edematous neck and diffuse rash. No abnormal laboratory findings other than anemia and elevated CRP were found. The patient was diagnosed with secondary bacterial infection cellulite. The respiratory distress was associated with the edema resulting from the infection.
We presented the case of cellulite that was advanced to an extent to cause respiratory problems following the itchy vesicle. Measures to be taken for children as the carriers of the disease can be listed as local antiseptic applications, antihistaminic to prevent itching and avoidance of non-steroidal anti-inflammatory (NSAI) administration. We wanted to remind that taking simple measures could reduce the secondary bacterial complications of the commonly encountered disease.
Key words: Chickenpox, celulitis, respiratory distress
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