Full Text of PDF (334k)
Article in Japanese
Abstract
Case Report
Three Adults with Mild Varicella and Bronchial Mucosal Lesions
Satoshi Konno Yasuhiro Tsuneta Eisei Jinushi Hideaki Ukita Toshiyuki Harada Akira Aida Yoichi Nishiura Wataru Takahashi Terukuni Kawai
Department of Internal Medicine, Konan Hospital 1-6 Hiragishi, Toyohira-ku Sapporo, Hokkaido, Japan
ABSTRACT
We encauntered three adults with varicella and bronchial mucosal lesions. Respiratory symptoms were minimal in all three. Chest X-ray films showed bilateral, diffuse, small, nodular shadows. Small, elevated lesions with white plaque's were seen on the bronchial mucosa bronchoscopically.Transbronchial lung biopsy, bronchial mucosal biopsy, and bronchoalveolar lavage were also done. The lung-biopsy specimen showed infiltration of lymphocytes into the interstitial space; VZV antigen was found by immunohistochemical staining of the lesion in one case. Analysis of bronchoalveolar lavage fluid revealed abnormally low CD4/8 ratios in three cases. These findings suggest a high incidence of respiratory complications, especially bronchial lesions, despite the lack of respiratory symptoms, in adults with varicella.
KEYWORDS
Adult varicella Varicella pneumonia Bronchial mucosal lesion
Received 平成9年7月9日
JJRS, 36(4): 363-368, 1998
Copyright © The Japanese Respiratory Society All Rights Reserved.