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Akimova V.P., Kochemirova T.N., Manzullina Z.N., Grigorieva A.S., Sharapova N.S.
Current course of chickenpox (case report)
Keywords: chickenpox, non-classical course, palms, feet, severity
The urgency of the problem associated with chickenpox lies in its widespread prevalence, high rates of morbidity and the risk of developing severe forms and complications leading to fatal outcomes. This disease is considered to be pediatric, but adults can also get infected with this infection, and the disease in adults has a more severe form. Many diseases change their course a little over time. The purpose is to present a case report describing an atypical course of chickenpox. Materials and methods. A retrospective analysis of 23 case histories of patients diagnosed with chickenpox (typical course, mild and moderate severity) was carried out on the basis of LLC ""Doctor with You" Medical Center" of the Chuvash Republic of Cheboksary. One clinical case of an atypical course of the disease is described. Study results. During a retrospective analysis of 23 case histories of patients diagnosed with chickenpox, it was noted that 9 patients with uncomplicated form of the disease had a rash not only on the body, the scalp, but on their palms and feet as well. The above clinical case describes the onset of rash on the 2nd day of the disease in a girl aged 9 years. On the 3rd day of the disease, rash appeared on the palms and feet. The child was examined by a pediatrician on the 7th day of the disease at home. To confirm the diagnosis, in addition to general clinical tests, an enzyme immunoassay was administered to determine antibodies to varicella-zoster virus IgM and IgG. On the basis of complaints, epidemiological history, objective and laboratory data, the diagnosis was made: chickenpox, typical course, mild form. Symptomatic treatment was administered for the patient. Conclusions. According to the Clinical recommendations (treatment protocol) for providing medical care to children with chickenpox, rash on the palms and feet in chickenpox refers to a severe form of the disease, but currently such rash can be found in patients suffering from the mild form of the disease. The atypical nature of the rash is possible to be due to variability of the virus, which requires further study. Due to the fact that the disease remains one of the most widespread, it is necessary to consider the issue of including vaccination against chickenpox in the calendar of preventive vaccinations in the Russian Federation.
References
- Afonina N.M., Mikheeva I.V. Vliyanie vaktsinoprofilaktiki na zabolevaemost’ vetryanoi ospoi v Rossiiskoi Federatsii [Impact of vaccination on the incidence of chickenpox in the Russian Federation]. Zhurnal infektologii, 2019, vol. 11, no. 1(S1), pp. 22–23.
- Vetryanka (vetryanaya ospa) [Chickenpox (chickenpox)]. Available at: https://medportal.ru/enc/infection/kids/16/?ysclid=lm7g6qs7bi170241933.
- Vetryanka (vetryanaya ospa) [Chickenpox (chickenpox)]. Available at: https://zdrav.expert/index.php/Stat’ya:Vetryanka_(vetryanaya_ospa).
- Voronin E.M. Sovremennye epidemiologicheskie osobennosti vetryanoi ospy i podkhody k ee profilaktike: avtoref. dis. … kand. med. nauk [Modern epidemiological features of chickenpox and approaches to its prevention. Abstract of Cand. Diss.]. Moscow, 2012, 24 p.
- Galkina L.A., Tselipanova E.E. Vetryanaya ospa: aktual’naya problema segodnyashnego dnya [Chickenpox: An Urgent Problem of Today]. Farmateka, 2017, no. 4, p. 337.
- Ermolenko M.V. Serologicheskii monitoring v sisteme epidemiologicheskogo nadzora za vetryanoi ospoi: avtoref. dis. kand. med. nauk [Serological monitoring in the system of epidemiological surveillance of chickenpox. Abstract of Cand. Diss.]. Moscow, 2014, 26 p.
- Klinicheskie rekomendatsii (protokol lecheniya) okazaniya meditsinskoi pomoshchi detyam bol’nym vetryanoi ospoi [Clinical Guidelines (Treatment Protocol) for Providing Medical Care to Children with Chickenpox]. Available at: https://www.skib-krasnodar.ru/spetsialistam/resursnyj-tsentr/nozologii?task=callelement&format=raw&item_id=329&element=f85c494b-2b32-4109-b8c1-083cca2b7db6&method=download&args[0]=f5558645dda26a5bdd22542e12922477.
- O sostoyanii sanitarno-epidemiologicheskogo blagopoluchiya naseleniya v Rossiiskoi Federatsii v 2022 godu: Gosudarstvennyi doklad [On the state of sanitary and epidemiological well-being of the population in the Russian Federation in 2022: State report]. Moscow, 2023, 368 p.
- Ksenofontova O.L., Rozhkova L.V., Savvinova T.L., Kharitonov A.N. Opyt provedeniya vaktsinoprofilaktiki vetryanoi ospy v g. Ekaterinburge [Experience of varicella vaccination in Ekaterinburg]. Pediatricheskaya farmakologiya, 2010, vol. 7, no. 4, pp. 34–36.
- Sergeeva I.V., Lipnyagova S.V., Bekert A.I. et al. Sovremennye osobennosti techeniya vetryanoi ospy [Modern features of the course of chickenpox]. Sovremennye problemy nauki i obrazovaniya, 2015, no. 5, p. 202.
About authors
- Akimova Venera P.
- Candidate of Medical Sciences, Associate Professor, Department of Children's Diseases, Chuvash State University, Russia, Cheboksary (akimova.venera@gmail.com; )
- Kochemirova Tatiana N.
- Candidate of Medical Sciences, Associate Professor, Department of Faculty Therapy, Chuvash State University, Russia, Cheboksary (tat.kochemirova@mail.ru; )
- Manzullina Zilya N.
- 6th year Student, Medicine Faculty, Chuvash State University, Russia, Cheboksary (manzulina97@mail.ru; )
- Grigorieva Alena S.
- 6th year Student, Medicine Faculty, Chuvash State University, Russia, Cheboksary )
- Sharapova Natalia S.
- 6th year Student, Medicine Faculty, Chuvash State University, Russia, Cheboksary )
Article link
Akimova V.P., Kochemirova T.N., Manzullina Z.N., Grigorieva A.S., Sharapova N.S. Current course of chickenpox (case report) [Electronic resource] // Acta medica Eurasica. – 2023. – №4. P. 81-87. – URL: https://acta-medica-eurasica.ru/en/single/2023/4/8/. DOI: 10.47026/2413-4864-2023-4-81-87.