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ذات رئة 2


ذات رئة 2


حالة سريرية

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A previously healthy 25-year-old music teacher develops fever and a
rash
over her face and chest. The rash is itchy and on exam involves multiple
papules and vesicles in varying stages of development. One week later
she complains of cough and is found to have an infiltrate on x-ray. [i]The
most likely etiology of the infection is

a. Streptococcus pneumoniae
b. Mycoplasma pneumoniae
c. Pneumocystis carinii
d. Varicella virus
by

Quote:
papules and vesicles in varying stages of
development

this statement makes the diagnosis whatever the other symptoms are:
d. Varicella virus

Fouad's picture
Fouad
بعد التخرج

right ..
Varicella pneumonia
develops in about 20% of adults with chickenpox. It occurs 3 to 7 days
after the onset of the rash. The hallmark of the chickenpox rash is papules,
vesicles, and scabs in various stages of development
. Fever, malaise, and
itching are usually part of the clinical picture. The differential can include
some coxsackievirus and echovirus infections, which might present with
pneumonia and vesicular rash. Rickettsialpox, a rickettsial infection, has
also been mistaken for chickenpox
qusei
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