AI Article Synopsis
- - A 43-year-old woman with type 2 diabetes and asthma developed a varicella zoster infection, experiencing symptoms like shortness of breath and neck fullness.
- - A CT scan revealed a mediastinal abscess and a thrombus in the superior vena cava, with cultures from her blood and neck swab identifying group A beta hemolytic Streptococcus.
- - She was treated successfully with a mix of broad-spectrum antibiotics, antivirals, and surgery to drain the abscess, highlighting the uncommon complications from this infection in adults.
Article Abstract
A 43-year-old lady with type 2 diabetes mellitus and bronchial asthma presented with varicella zoster infection, dyspnea, and neck fullness. An urgent computed tomography scan revealed a mediastinal abscess with superior vena cava thrombus. Blood, mediastinal pus, and swab from a vesiculopustule on the neck cultured group A beta hemolytic Streptococcus. She recovered with a combination of broad spectrum antimicrobials, antivirals, and surgical drainage. This case illustrates the rare occurrence of mediastinal abscess and acute superior vena cava obstruction caused by group A beta hemolytic Streptococcus complicating adult varicella zoster.
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| http://dx.doi.org/10.1097/SMJ.0b013e3181a49a71 | DOI Listing |
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