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Case of the Week 556



What is the most likely diagnosis?

  • 38 year-old with recent history of rash and cough



Frontal radiograph of chest

  1. Miliary Tuberculosis
  2. Varicella Pneumonia
  3. Metastatc Bladder Cancer
  4. Nocardiosis
  5. Lymphoma

Additional Images - Lateral radiograph of chest

 

Additional Images

 


Lateral radiograph of chest


Answer:

 

2. Varicella Pneumonia

 

More (Click Discussion Tab)

 

 

Varicella Pneumonia

General Considerations

  • Caused by Varicella-zoster virus (VZV)
  • Spread via the respiratory route or direct contact with skin lesions, the VZV is highly contagious
  • Primary infection produces chickenpox; reactivation results in zoster (shingles)
  • Varicella pneumonia complicates about 2-10% of cases of VZV infection in adults
  • It rarely occurs in those under age 19

MORE . . .

 


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is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.