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Инфекционные заболевания. Инфекционные лихорадки (587) |
![]() POPOV, Svetlana, BATÎR, Valentina, VOINSCHI, Oleg. Evolution of mixed infection – chickenpox and scarlet fever at the same time in a family. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 140. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: [616.914+616.917]-036-08 | ||||||
Pag. 140-140 | ||||||
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Background. The fact that chickenpox is a risk factor for invasive group A β-hemolytic streptococcal infections suggests that VVZ infections may increase the incidence of scarlet fever and strepto-staphylococcal complications. Presentation of the evolution of the mixed infection in a familiar outbreak of chickenpox associated with scarlet fever, in two brothers aged 2 and 6 years. Objective of the study. Presentation of the evolution of the mixed infection in a familiar outbreak of chickenpox associated with scarlet fever, in two brothers aged 2 and 6 years. Material and Methods. Anamnestic, epidemiological, clinical and paraclinical data were taken from medical records. Children were investigated: complete blood count, biochemical analysis, urinalysis, culture of oropharyngeal secretions by qualitative method, electrocardiography, and lung radiography. The literature on similar cases has been studied. Results. Two brothers, or at the same time with chickenpox and scarlet fever, were admitted to the intensive care unit of the IMSCMBCC. The clinical picture in both diseases was typical, characteristic of varicella and scarlet fever with general toxic signs, vesicular eruption, polymorphic character - in chickenpox and miliary rash, flaking in the soles of the feet, tonsillitis, “raspberry tongue” in scarlet fever. The evolution of the disease was severe with bacterial superinfection - cutaneous streptococcal skin, with cellulite of the face and phlegmon on the thigh of the right leg. The culture of oropharyngeal secretions was positive for Streptococcus mitis. Patients were treated according to clinical protocols for scarlet fever and chickenpox. Conclusions. The fact that both diseases have a tactic of suppressing the immune system in common suggests that chickenpox may increase susceptibility to scarlet fever or vice versa and that there may be a synergistic effect in a co-infection. |
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Cuvinte-cheie chickenpox, scarlet fever, co-infection, rash, cellulite, phlegmon, varicelă, scarlatină, co-infecţie, exantem, celulita, flegmon |
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