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Complications of Varicella

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Varicella or chicken pox is generally a non-serious childhood illness. However, there are still children dying from chicken pox. In Germany, one year survey of 485 pediatric hospitals was done. The survey showed 119 children with chicken pox had severe complications. Eight of the 119 had long term complications. These are the complications found in chicken pox:

Neurologic:  Cerebritis (48), Encephalitis (22), Facial palsy, (1)

Infectious complications:  Superinfection of the skin (31), pyogenic arthritis (5), osteomyelitis (4), necrotizing faciitis (3), Orbital cellulitis (2), pneumonia (1).

Blood complication:  Thrombocytopenia and anemia (5)

Reference: PEDIATRICS, November 2001, page 1194

Comment: Most of these complications can be prevented by having all children get chicken pox immunization. There are still some parents who do not want their children immunize. About three years ago, I have one patient who had severe skin infection and dehydration as complication of chicken pox. I have to put the child in the hospital.

Leo Leonidas, MD, FAAP, Assistant Clinical Professor in Pediatrics, Tufts University School of Medicine, Boston; Attending Pediatrician, Eastern Maine Medical Center, Bangor, Maine.

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