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Korean J healthc assoc Infect Control Prev 2019; 24(2): 103-107

Published online December 31, 2019 https://doi.org/10.14192/kjicp.2019.24.2.103

Copyright © Korean Society for Healthcare-associated infection Control and Prevention

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Two Cases of Chickenpox Developed from an Immunocompromised Patient with Localized Herpes Zoster

Yong Chan Kim1, Sang Hoon Han2, Jun Yong Choi2, Ju Hyun Lee3, Jin Seok Kim2, Kyungwon Lee4

Department of Infectious Disease, Ajou University School of Medicine1, Suwon, Department of Internal Medicine, Yonsei University College of Medicine2, Infection Control Department, Severance Hospital3, Department of Laboratory Medicine, Yonsei University College of Medicine4, Seoul, Korea

Received: November 19, 2019; Revised: November 28, 2019; Accepted: December 2, 2019

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Varicella zoster virus causes chickenpox, which is highly contagious, at primary infection and herpes zoster at reactivation. The varicella zoster virus may be more contagious and cause serious outbreaks in immunocompromised patients. There are some reports of outbreaks of chickenpox in patients with herpes zoster. Here, we describe a case of localized herpes zoster occurring in an immunocompromised patient during hospitalization in a specialized ward for immunocompromised patients. This episode resulted in two newly developed, hospital-acquired cases of chickenpox. If we had isolated the index patient who had localized herpes zoster immediately, the two cases of chickenpox could have been prevented. Therefore, patients with localized herpes zoster should be isolated in wards with immunocompromised patients.

Keywords: Chickenpox, Herpes zoster, Immunocompromised host

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