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Varicella gastritis in an immunocompetent child
Authors:Meltem Ugras  Ayca Vitrinel  Gulden Yilmaz  Kenan Midilli  Ferda Ozkan
Institution:1. Yeditepe University Hospital, Pediatric Gastroenterology, Hepatology and Nutrition, Istanbul, Turkey;2. Yeditepe University Hospital, Pediatrics, Istanbul, Turkey;3. Yeditepe University Hospital, Microbiology, Istanbul, Turkey;4. Istanbul University, Cerrahpasa Medical Faculty, Department of Microbiology, Istanbul, Turkey;5. Yeditepe University Hospital, Pathology, Istanbul, Turkey;1. Univ. Lille Nord-de-France, CHRU Lille, Pediatric Emergency and Infectious Diseases Unit, Lille, France;2. Univ. Lille Nord-de-France, UDSL, EA2694, Public Health: Epidemiology and Quality of Care, Lille, France;3. Pediatric Emergency Unit and Day Care Centre, Intercommunal Hospital, Créteil, France;4. Pediatric Emergency Unit, Femme-Mère-Enfant Hospital, Hospices Civils de Lyon, Lyon, France;5. Pediatric Emergency Unit, Saint-Vincent-de-Paul Hospital, Paris, France;6. Pediatric Emergency Unit, Hôpital Nord, Marseille, France;7. Pediatric Emergency Unit, University Hospital, Nantes, France;8. Pediatric Department, Robert Debré Hospital and Faculté de Médecine Denis Diderot Paris VII, Paris, France;9. Pediatric Department, Béziers General Hospital, Béziers, France;10. Laboratory of Virology, Saint-Vincent-de-Paul Hospital, Paris, France;11. Paris Descartes University, Paris, France;1. Department of Microbiology, The University of Hong Kong, University Pathology Building, Queen Mary Hospital, Hong Kong Special Administrative Region;2. State Key Laboratory of Emerging Infectious Diseases, The University of Hong Kong, University Pathology Building, Queen Mary Hospital, Hong Kong Special Administrative Region;3. Research Centre of Infection and Immunology, The University of Hong Kong, University Pathology Building, Queen Mary Hospital, Hong Kong Special Administrative Region;1. Pôle des Maladies Infectieuses et Tropicales Clinique et Biologique, Fédération de Bactériologie-Hygiène-Virologie, Centre Hospitalo-Universitaire Timone, Assistance Publique-Hôpitaux de Marseille, 264 rue Saint-Pierre 13385, Marseille CEDEX 05, France;2. URMITE, CNRS UMR 7278, IRD 198, INSERM U1095, Aix-Marseille Univ., Méditerranée Infection, Facultés de Médecine et de Pharmacie, 27 boulevard Jean Moulin, 13385 Marseille CEDEX 05, France;3. Assistance Publique-Hôpitaux de Marseille, Centre de Néphrologie et Transplantation rénale, Hôpital Conception, 147 boulevard Baille, 13385 Marseille CEDEX 05, France;4. Assistance Publique-Hôpitaux de Marseille, Service d’Hépato-Gastro-Entérologie, Centre Hospitalo-Universitaire Conception, 147 boulevard Baille, 13385 Marseille CEDEX 05, France;1. Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Chongqing 400016, China;2. Department of Neurology, The University-Town Hospital of Chongqing Medical University, Chongqing 401331, China;3. Department of Neurology, Renmin Hospital, Hubei University of Medicine, Shiyan Renmin Hospital, No. 39 Chaoyang Middle Road, Shiyan, Hubei Province 442000, China
Abstract:The varicella zoster virus (VZV) is a very rare cause of gastritis. Gastritis caused by VZV can be presented as abdominal pain, vomiting. Most of the cases reported with varicella gastritis in the literature are immunocompromised patients with various kinds of malignancy, and most of these patients are adults. Here we report an adolescent girl with acute abdominal pain. The girl was immunocompetent. Her endoscopically taken biopsy material revealed varicella, and her gastritis was healed with acyclovir therapy. This is a very rare condition and not frequently reported in the literature. The authors want to drive attention to the fact that varicella gastritis can be seen in immunocompetent children, the presentation can be nausea, vomiting and/or (severe) abdominal pain. Serological studies may be less helpful than tissue studies, so interventional procedures should be done.
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