A Case of Varicella Interstitial Pneumonia in an Adult Masayasu Nakayama 1 , Osami Yoshikawa 1 , Takashi Hagiwara 1 , Hideko Endoh 1 , Naoki Tujiguchi 1 1Department of Anesthesia, Hakodate Municipal Hospital Keyword: 水痘 , 間質性肺炎 , 腹臥位 , varicella , interstitial pneumonia , prone position pp.807-810
Published Date 1995/8/15
DOI https://doi.org/10.11477/mf.1404901103
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A case of varicella interstitial pneumonia was report-ed. The patient was a 33-year-old male who was admitted to our ICU complaining of severe dyspnea. He suffered from general skin eruption, fever and general fatigue. PaO2 was 39.1 mmHg under 8 l/min of oxygen via face mask. Chest X ray revealed nodular infiltrate in both lungs. He was diagnosed as having varicella interstitial pneumonia and treated with high doses of methylprednisolone, aciclovir, γ-globulin, and antibi-otics. Because diffuse atelectasis in the dorsal region of the lung was revealed by a CT scan film of the chest, prone position respiratory care was carried out. These therapies were quite effective and pulmonary symptom was improved markedly without endothracheal intuba-tion. The patient was discharged from ICU on the 8th day.

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