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Table 1 Patient characteristics

From: Varicella-zoster virus infections in immunocompromised patients - a single centre 6-years analysis

patient

gender

age [years]

start VZV exanthema until hospital admission

organ involvement

start antiviral therapy

underlying disease/time point of therapy

duration of antiviral therapy

outcome

Oncologic patients

 

1

m

4

1 day

skin, peripheral blood, bronchial secret, pleural effusion, ascites, myocard, lung, liver, kidneys

immediately, acyclovir i.v.

T-ALL, diagnosis

until death (2nd Day)

death of VZV

2

m

6

same day

skin

immediately, acyclovir i.v.

c-ALL, maintenance therapy

7 days

alive, no sequelae

3

m

4

same day

skin

immediately, acyclovir i.v.

neuroblastoma, maintenance with retinoic acid

7 days

alive, no sequelae

4

m

5

same day

skin

immediately, acyclovir

T-ALL, consolidation chemotherapy, herpes zoster

7 days

alive, no sequelae

5

m

8

same day

skin

immediately, acyclovir i.v.

T-ALL, induction chemotherapy

5 days

alive, no sequelae

6

f

1

same day

skin

immediately, acyclovir i.v.

astrocytoma, induction therapy

7 days

alive, no sequelae

7

m

7

same day

skin

immediately, acyclovir i.v.

pro-B-ALL, allogeneic BMT, d +114, herpes zoster

7 days

DOD

8

m

7

same day

skin

immediately, acyclovir i.v.

pro-B-ALL, allogeneic BMT, d +60, herpes zoster

7 days

DOD

9

m

1.8

3 days later

skin

immediately, acyclovir i.v.

cALL, diagnosis

49 days

alive, no sequelae

Immunocompromised patients

10

m

8

1 day

skin, liver

immediately, acyclovir and cidofovir

nephrotic syndrome

7 days

alive, no sequelae

11

f

7

1 day

skin

immediately, acyclovir i.v.

juvenile idiopathic arthritis (MTX, prednisone)

3 days i.v., 5 days p.o.

alive, no sequelae

12

f

5

same day

skin

immediately, acyclovir i.v.

juvenile idiopathic arthritis (MTX, prednisone)

3 days*

alive, no sequelae

13

f

4 weeks

3 days

skin

immediately, acyclovir i.v.

neonatal

4 days

alive, no sequelae

14

m

3

same day

skin

immediately, acyclovir i.v.

pemphygoid, enteropathy (prednisone)

14 days

alive, no sequelae

  1. All patients were admitted due to VZV-infections and/or the presence of risk factors for a complicated course of the disease.
  2. *Antiviral therapy was stopped after only three days due to acute, but transient renal failure under acyclovir.
  3. Abbreviations: BMT = bone marrow transplantation, c-ALL = common acute lymphoblastic leukemia, d = day, i.v.= intravenously, MTX = methotrexate, DOD = dead of underlying oncologic disease, p.o.= orally, pro-B-ALL = B-progenitor acute lymphoblastic leukemia, VZV = varicella zoster virus