Acute Abdomen : A Rare Presentation of Chickenpox

Abstract

Introduction: Infection with varicella-zoster virus (VZV) in healthy adults tends to be more severe. Antiviral medication (often prescribed for adults), is effective in reducing the severity of the disease and its complications. The most common and lethal complication of varicella is pneumonia. Treatment with antiviral drugs is generally advised within 24 to 48 hours after the rash onset. Case Presentation: We report a 25-year-old woman with an unusual presentation of chickenpox just one month after her marriage. Unfortunately, the patient presented with acute abdomen and diagnosis was late. Treatment started 8 days after the beginning of the first sign, but she died because of hemorrhage and severe pneumonia. Conclusions: Atypical chickenpox infections should be suspected in any patient who presents unexplained abdominal pain, fever, and dyspnea, even if cutaneous lesions are minimal. An early diagnosis can prevent a fatal outcome.