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Pneumonitis in an elderly Bangladeshi man
  1. D W Wareham1,
  2. J Breuer1,
  3. M T Healy2,
  4. D R Goldhill2
  1. 1Department of Medical Microbiology, Barts and The London NHS Trust, London E1 1BB, UK
  2. 2Department of Intensive Care, Barts and The London NHS Trust, London E1 1BB, UK

    https://doi.org/10.1136/jcp.54.6.494

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      The incidence of primary varicella zoster virus infection (VZV) in young adults and pregnant women has risen in recent years and is accompanied by a greater risk of serious complications.1 VZV disease in the elderly usually presents as shingles, as a result of secondary reactivation of latent infection, and can be treated successfully with early antiviral therapy. We report a case of fatal primary infection in an elderly man.J Clin Pathol 2001;54:494–496

      A 66 year old Bangladeshi man with fibrosing alveolitis and non-insulin dependent diabetes mellitus was admitted to hospital with increasing shortness of breath for one week. He was a smoker and had been well controlled on 25 mg of prednisolone daily for the previous two months.

      On admission he was febrile (38.5°C), tachypnoeic (50 breaths/minute), and hypotensive (blood pressure, 85/60 mm Hg), with severe mucosal candidiasis. An extensive maculopapular rash, present for three days, was noted and thought to be consistent …

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