AI Article Synopsis
- Varicella, caused by the varicella-zoster virus, primarily impacts young children, presenting with a rash and fever, but can lead to severe complications.
- A case study is presented involving an infant with varicella who developed preseptal cellulitis and a frontal abscess, requiring an otorhinolaryngology consult due to concerns of sinusitis.
- Ultrasound findings indicated a mid-frontal collection without abscess formation, leading to the diagnosis of cutaneous superinfection of varicella lesions, which was successfully treated with drainage and antibiotics.
Article Abstract
Varicella is the manifestation of primary infection with the varicella-zoster virus, mainly affecting preschool and school-aged children. The children suffer from a generalised, vesicular rash and fever. Despite the infection's typically non-threatening course, a variety of severe complications have been described.The authors present the case of a female infant suffering from varicella and developing preseptal cellulitis with a frontal abscess while being treated with intravenous antibiotics. Otorhinolaryngology consultation was sought since the clinical image was highly suggestive for sinusitis complications, namely orbital cellulitis and frontal bone osteomyelitis (Pott's puffy tumour). However, the child was below the age of frontal sinus development and there was no other apparent sign of sinonasal involvement. Ultrasonography revealed a mid-frontal collection without signs of abscess formation preseptally or postseptally, leading to the diagnosis of cutaneous superinfection of varicella lesions. The frontal abscess was drained, and the child fully recovered under antibiotic treatment.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11146352 | PMC |
| http://dx.doi.org/10.1136/bcr-2021-246379 | DOI Listing |
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