Fever, Rash, and Shortness of Breath in a Previously Healthy 52-Year-Old Man - PubMed
4 hours ago
- #Pneumonia
- #Varicella Zoster Virus
- #Adult Infection
- A 52-year-old previously healthy man presents with fever, cough, and shortness of breath for two days.
- Physical examination reveals a rash on the trunk and back, characterized by clear vesicles on an erythematous base.
- Chest imaging shows pulmonary infiltrates, indicating involvement of the lungs.
- Laboratory testing is positive for varicella zoster virus DNA, confirming VZV infection, and negative for herpes simplex virus types 1 and 2.
- The diagnosis is varicella zoster virus infection, likely manifesting as primary varicella (chickenpox) with pulmonary complications in an adult.
- Next steps typically include antiviral treatment, supportive care, and monitoring for disease severity due to the risk of pneumonia in adults.