Document Detail


Mini outbreak of Kaposi's varicelliform eruption in skin ward: a study of five cases.
MedLine Citation:
PMID:  17314445     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Kaposis varicelliform eruption (KVE) represents widespread cutaneous herpes simplex virus (HSV) infection in patients with preexisting dermatoses. Occasionally, this infection can present as a nosocomial infection in skin wards, if adequate bed-spacing and barrier nursing methods are not followed. We are reporting five cases of KVE; four cases acquired the infection in a makeshift ward after admission of the first case in May 2005, due to the renovation work of the regular skin ward. AIM: The purpose of this study is to create clinical awareness about this uncommon dermatologic entity and to stress upon the importance of bed-spacing and barrier nursing in skin wards. METHODS: Five cases of KVE, three females and two males with different primary dermatoses (pemphigus foliaceus--one, pemphigus vulgaris--two, paraneoplastic pemphigus--one and toxic epidemal necrolysis--one) were included in this study. Diagnosis was made clinically and supported with Tzanck smear and HSV serology. All the cases were treated with oral acyclovir. RESULTS: Four out of five cases of KVE recovered with treatment, one case of extensive pemphigus vulgaris with KVE succumbed to death. CONCLUSION: Mini outbreaks of KVE can occur in skin wards with inadequate bed-spacing and overcrowding of patients. Therefore adequate bed-spacing, barrier nursing and isolation of suspected cases are mandatory to prevent such life-threatening infections.
Authors:
Grr Rao; K V Chalam; G P Prasad; M Sarnathan; Hky Kumar
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Indian journal of dermatology, venereology and leprology     Volume:  73     ISSN:  0973-3922     ISO Abbreviation:  Indian J Dermatol Venereol Leprol     Publication Date:    2007 Jan-Feb
Date Detail:
Created Date:  2007-02-22     Completed Date:  2007-03-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7701852     Medline TA:  Indian J Dermatol Venereol Leprol     Country:  India    
Other Details:
Languages:  eng     Pagination:  33-5     Citation Subset:  IM    
Affiliation:
Department of Dermatology, Andhra Medical College, Visakhapatnam, Andhra Pradesh, India. graghurmamrao@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Acyclovir / administration & dosage,  therapeutic use
Administration, Oral
Adult
Antiviral Agents / administration & dosage,  therapeutic use
Child
Cross Infection / epidemiology*
Crowding
Dermatology
Disease Outbreaks*
Fatal Outcome
Female
Hospital Bed Capacity
Hospital Departments
Humans
India / epidemiology
Kaposi Varicelliform Eruption / complications,  drug therapy,  epidemiology*,  pathology
Male
Middle Aged
Patients' Rooms
Skin Diseases / complications
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antiviral Agents; 59277-89-3/Acyclovir

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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