Öz
Suçiçeği, insandan insana çoğunlukla deri lezyonlarıyla direkt temas veya suçiçeği virüsü ile enfekte bireylerin solunumsal sekresyonlarının inhalasyonu yolu ile bulaşan döküntülü bir viral enfeksiyondur. Genellikle çocukluk çağında geçirilmekle birlikte nadir olarak erişkinlerde de görülebilir. Erişkinlerde klinik tanının yanı sıra serolojik tanı testleri yol göstericidir. Döküntülü viral enfeksiyonlar gebelikte hem bebek hem de anne için daha komplike seyredebilir. Bu nedenle aşı ile korunulabilecek hastalıklara karşı gebelik öncesinde aşılama uygulanmalıdır. Bu yazıda klinik olarak suçiçeği ile uyumlu olan ancak serolojik olarak birinci ayda serokonversiyon gelişen 29 haftalık bir gebe olgusu sunulmuştur.
Anahtar Kelimeler: Suçiçeği, seroloji, gebelik, döküntü
Kaynakça
Pinkbook: Varicella | CDC [Internet]. 2022.Last accessed date: 2023 Feb 21. Available from: https://www.cdc.gov/vaccines/pubs/pinkbook/varicella.html
Varicella and herpes zoster vaccines: WHO position paper, June 2014 [Internet]. Last accessed date: 2023 Feb 21. Available from: https://www.who.int/publications-detail-redirect/who-wer-8925-265-288
Gershon AA, Gershon MD. Pathogenesis and current approaches to control of varicella-zoster virus infections. Clin Microbiol Rev. 2013;26:728-43.
Leclair JM, Zaia JA, Levin MJ, Congdon RG, Goldmann DA. Airborne transmission of chickenpox in a hospital. N Engl J Med. 1980;302:450-3.
Ziebold C, von Kries R, Lang R, Weigl J, Schmitt HJ. Severe complications of varicella in previously healthy children in Germany: a 1-year survey. Pediatrics. 2001;108:E79. Erratum in: Pediatrics. 2004;113:1470.
Arvin AM, Gershon AA. Live attenuated varicella vaccine. Annu Rev Microbiol. 1996;50:59-100.
Gershon AA, Steinberg SP, Gelb L. Clinical reinfection with varicella-zoster virus. J Infect Dis. 1984;149:137-42.
Rawson H, Crampin A, Noah N. Deaths from chickenpox in England and Wales 1995-7: analysis of routine mortality data. BMJ. 2001;323:1091-3.
Harger JH, Ernest JM, Thurnau GR, Moawad A, Thom E, Landon MB, Paul R, Miodovnik M, Dombrowski M, Sibai B, Van Dorsten P, McNellis D; National Institute of Child Health and Human Development Network of Maternal-Fetal Medicine Units. Frequency of congenital varicella syndrome in a prospective cohort of 347 pregnant women. Obstet Gynecol. 2002;100:260-5.
Pastuszak AL, Levy M, Schick B, Zuber C, Feldkamp M, Gladstone J, Bar-Levy F, Jackson E, Donnenfeld A, Meschino W, et al. Outcome after maternal varicella infection in the first 20 weeks of pregnancy. N Engl J Med. 1994;330:901-5.
Ahn KH, Park YJ, Hong SC, Lee EH, Lee JS, Oh MJ, Kim HJ. Congenital varicella syndrome: A systematic review. J Obstet Gynaecol. 2016;36:563-6.
Masson E. Varicelle, zona et grossesse [Internet]. EM-Consulte. Last accessed date: 2023 Feb 21. Available from: https://www.em-consulte.com/article/906228/varicelle-zona-et-grossesse
Medical Microbiology - 9th Edition [Internet]. Last accessed date: 2023 Feb 21. Available from: https://www.elsevier.com/books/medical-microbiology/murray/978-0-323-67322-8
Zeytinoğlu Türkeş A, Altuğlu İ, Kayin M, Alagöz ÇY. Evaluation of Varicella Zoster Virus Serologic Test Results in Patients Admitted to Ege University Faculty of Medicine. Türk Mikrobiyol Cem Derg. 2017;47:185–89.
Wallace MR, Bowler WA, Murray NB, Brodine SK, Oldfield EC 3rd. Treatment of adult varicella with oral acyclovir. A randomized, placebo-controlled trial. Ann Intern Med. 1992;117:358-63.
Marin M, Güris D, Chaves SS, Schmid S, Seward JF; Advisory Committee on Immunization Practices, Centers for Disease Control and Prevention (CDC). Prevention of varicella: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2007;56:1-40.
Denny JT, Rocke ZM, McRae VA, Denny JE, Fratzola CH, Ibrar S, Bonitz J, Tse JT, Cohen S, Mellender SJ, Kiss GK. Varicella Pneumonia: Case Report and Review of a Potentially Lethal Complication of a Common Disease. J Investig Med High Impact Case Rep. 2018;6:2324709618770230.
Tang C, Tsui S, Tong H. Two Cases of Chickenpox Complicating Pregnancy and an Update on Management. Hong Kong Journal of Emergency Medicine. 2009;16:46-50.
Benoit G, Etchemendigaray C, Nguyen-Xuan HT, Vauloup-Fellous C, Ayoubi JM, Picone O. Management of varicella-zoster virus primary infection during pregnancy: A national survey of practice. J Clin Virol. 2015;72:4-10.
Eriskin-bagisiklama-2023.pdf. Last accessed date: 2023 Jun 4. Available from: https://www.ekmud.org.tr/files/uploads/files/eriskin-bagisiklama-2023.pdf
