Infecciones por virus varicela zoster en menores de 15 años con cáncer

Background: Infections caused by Varicella Zoster virus in children with cancer have a high rate of complications and mortality. Aim: To report the outcome of this infection in children with cancer. Patients and methods: Retrospective analysis of medical records of 216 children aged less than 15 yea...

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Autores principales: Folatre B,sabel, Zolezzi R,Paola, Schmidt K,Daniela, Marín H,Francisco, Täger F,Marlis
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2003
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000700007
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spelling oai:scielo:S0034-988720030007000072004-12-13Infecciones por virus varicela zoster en menores de 15 años con cáncerFolatre B,sabelZolezzi R,PaolaSchmidt K,DanielaMarín H,FranciscoTäger F,Marlis Acyclovir Herpes Zoster Neoplasms Varicellovirus Background: Infections caused by Varicella Zoster virus in children with cancer have a high rate of complications and mortality. Aim: To report the outcome of this infection in children with cancer. Patients and methods: Retrospective analysis of medical records of 216 children aged less than 15 years old with the diagnosis of an hematological or solid tumor, admitted to the National Program of Antineoplastic Drugs (PINDA). Results: Eighty seven children had a Varicella Zoster virus infections, 73 (84%) had varicella, 8 (9%) had herpes zoster and 6 (7%) had varicella and herpes zoster. Ninety four percent acquired the infection during antineoplastic treatment and 78% received Acyclovir as antiviral therapy. During a nosocomial outbreak of varicella, three patients with an Acute Lymphoblastic leukemia died in the initial phase of chemotherapy, in spite of an early administration of Acyclovir. No patient with herpes zoster died. Conclusions: The incidence of varicella was higher in children with leukemia or lymphoma than in children with other types of cancer. Virus reactivation was uncommon and had a benign course. Varicella mortality in these children could be favorably modified through an active immunization of immunocompetent children (Rev Méd Chile 2003; 133: 759-64)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.7 20032003-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000700007es10.4067/S0034-98872003000700007
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Acyclovir
Herpes Zoster
Neoplasms
Varicellovirus
spellingShingle Acyclovir
Herpes Zoster
Neoplasms
Varicellovirus
Folatre B,sabel
Zolezzi R,Paola
Schmidt K,Daniela
Marín H,Francisco
Täger F,Marlis
Infecciones por virus varicela zoster en menores de 15 años con cáncer
description Background: Infections caused by Varicella Zoster virus in children with cancer have a high rate of complications and mortality. Aim: To report the outcome of this infection in children with cancer. Patients and methods: Retrospective analysis of medical records of 216 children aged less than 15 years old with the diagnosis of an hematological or solid tumor, admitted to the National Program of Antineoplastic Drugs (PINDA). Results: Eighty seven children had a Varicella Zoster virus infections, 73 (84%) had varicella, 8 (9%) had herpes zoster and 6 (7%) had varicella and herpes zoster. Ninety four percent acquired the infection during antineoplastic treatment and 78% received Acyclovir as antiviral therapy. During a nosocomial outbreak of varicella, three patients with an Acute Lymphoblastic leukemia died in the initial phase of chemotherapy, in spite of an early administration of Acyclovir. No patient with herpes zoster died. Conclusions: The incidence of varicella was higher in children with leukemia or lymphoma than in children with other types of cancer. Virus reactivation was uncommon and had a benign course. Varicella mortality in these children could be favorably modified through an active immunization of immunocompetent children (Rev Méd Chile 2003; 133: 759-64)
author Folatre B,sabel
Zolezzi R,Paola
Schmidt K,Daniela
Marín H,Francisco
Täger F,Marlis
author_facet Folatre B,sabel
Zolezzi R,Paola
Schmidt K,Daniela
Marín H,Francisco
Täger F,Marlis
author_sort Folatre B,sabel
title Infecciones por virus varicela zoster en menores de 15 años con cáncer
title_short Infecciones por virus varicela zoster en menores de 15 años con cáncer
title_full Infecciones por virus varicela zoster en menores de 15 años con cáncer
title_fullStr Infecciones por virus varicela zoster en menores de 15 años con cáncer
title_full_unstemmed Infecciones por virus varicela zoster en menores de 15 años con cáncer
title_sort infecciones por virus varicela zoster en menores de 15 años con cáncer
publisher Sociedad Médica de Santiago
publishDate 2003
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000700007
work_keys_str_mv AT folatrebsabel infeccionesporvirusvaricelazosterenmenoresde15anosconcancer
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AT schmidtkdaniela infeccionesporvirusvaricelazosterenmenoresde15anosconcancer
AT marinhfrancisco infeccionesporvirusvaricelazosterenmenoresde15anosconcancer
AT tagerfmarlis infeccionesporvirusvaricelazosterenmenoresde15anosconcancer
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