Abstract
Chickenpox is a disease caused by the varicella zoster virus, is highly contagious. It manifests by a pruritic maculopapular rash with vesicles and dry crusts. It develops mainly in childhood, and confers lifelong immunity. Varicella has a worldwide distribution, has an autolimited and benign course in most cases, nevertheless if it occurs during pregnancy, there is a risk of developing maternal pneumonitis, congenital varicella syndrome or neonatal varicella infection, in which they all have a mortality rate of 30%. Nowadays, there are some preventive care, such as the varicella vaccine for childbearing women, and for pregnant women and neonates, there is varicella immunoglobulin, besides the treatment with antivirals like acyclovir and valacyclovir.
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References
Gershon AA, Breuer J, Cohen JI, Cohrs RJ, Gershon MD, Gilden D, Grose C, Hambleton S, Kennedy PGE, Oxman MN, Seward JF, Yamanishi K. Varicella zoster virus infection. Nature Reviews Disease Primers. 2015 07 02;1(1). https://doi.org/10.1038/nrdp.2015.16
Kulhan M, Kulhan N, Nayki U, Nayki C, Ulug P. Varicella infections during pregnancy and literature review: A case report. Journal of Cases in Obstetrics & Gynecology. 2017;4(1):11-14.
JESPERSEN C, HELMUTH IG, KRAUSE TG. Varicella-zoster immunoglobulin treatment in pregnant women in Denmark from 2005 to 2015: descriptive epidemiology and follow-up. Epidemiology and Infection. 2016 08 18;144(16):3426-3434. https://doi.org/10.1017/s0950268816001485.
Sauerbrei A. Diagnosis, antiviral therapy, and prophylaxis of varicella-zoster virus infections. European Journal of Clinical Microbiology & Infectious Diseases. 2016 02 12;35(5):723-734. https://doi.org/10.1007/s10096-016-2605-0
Vázquez M, Cravioto P, Galván F, Guarneros D, Pastor V. Varicela y herpes zóster: retos para la salud pública. Salud Pública de México. 2017;59(6, nov-dic):650.
Montes Ortega J. Herpes Virus. BIOZ [Internet]. 2019 [cited 7 December 2019];4(3):1-4. Available from: http://editorial-uaie.uaz.edu.mx/index.php/bioz
Shrim A, Koren G, Yudin M, Farine D. No. 274-Management of Varicella Infection (Chickenpox) in Pregnancy. Journal of Obstetrics and Gynaecology Canada. 2018;40(8):e652-e657. https://doi.org/10.1016/j.jogc.2018.05.034
Parente S, Moriello NS, Maraolo AE, Tosone G. Management of chickenpox in pregnant women: an Italian perspective. European Journal of Clinical Microbiology & Infectious Diseases. 2018 05 25;37(9):1603-1609. https://doi.org/10.1007/s10096-018-3286-7
Zhang H, Patenaude V, Abenhaim H. Maternal outcomes in pregnancies affected by varicella zoster virus infections: Population-based study on 7.7 million pregnancy admissions. Journal of Obstetrics and Gynaecology Research. 2014;41(1):62-68. https://doi.org/10.1111/jog.12479
Crino J, Driggers R. Ultrasound Findings Associated With Antepartum Viral Infection. Clinical Obstetrics and Gynecology. 2018;:1.https://doi.org/10.1097/GRF.0000000000000342
Ahn KH, Park Y, Hong S, Lee EH, Lee J, Oh M, Kim H. Congenital varicella syndrome: A systematic review. Journal of Obstetrics and Gynaecology. 2016 03 10;36(5):563-566. https://doi.org/10.3109/01443615.2015.1127905
Benoit G, Etchemendigaray C, Ngyen-Xuan H, Vauloup-Fellous C, Ayoubi J, Picone O. Management of varicella-zoster virus primary infection during pregnancy: A national survey of practice. Journal of Clinical Virology. 2015;72:4-10. https://doi.org/10.1016/j.jcv.2015.07.301
Trotta M, Borchi B, Niccolai A, Venturini E, Giaché S, Sterrantino G, Colao MG, Rossolini GM, Bartoloni A, Zammarchi L. Epidemiology, management and outcome of varicella in pregnancy: a 20-year experience at the Tuscany Reference Centre for Infectious Diseases in Pregnancy. Infection. 2018 05 15;46(5):693-699. https://doi.org/10.1007/s15010-018-1150-4
Salleras L, Salleras M, Soldevila N, Prat A, Garrido P, Domínguez Á. Vacunas frente al virus de la varicela zóster. Enfermedades Infecciosas y Microbiología Clínica. 2015;33(6):411-423. https://doi.org/10.1016/j.eimc.2015.05.005
Mirinaviciute G, Barlinn R, Gjeruldsen Dudman S, Flem E. Immunity to varicella zoster virus among pregnant women in the Norwegian Mother and Child Cohort Study. Hozbor DF. PLOS ONE. 2019 08 13;14(8):e0221084. https://doi.org/10.1371/journal.pone.0221084
Amjadi O, Rafiei A, Haghshenas M, Navaei RA, Valadan R, Hosseini-Khah Z, Omran AH, Arabi M, Shakib RJ, Mousavi T, Ashrafi GH. A systematic review and meta-analysis of seroprevalence of varicella zoster virus: A nationwide population-based study. Journal of Clinical Virology. 2017 02;87:49-59. https://doi.org/10.1016/j.jcv.2016.12.001
Silasi M, Cardenas I, Racicot K, Kwon J.Y, Aldo P, Mor G. Viral Infections During Pregnancy. American Journal of Reproductive Immunology. 2015;73(3):199-213. https://doi.org/10.1111/aji.12355
Practice Bulletin 151. Cytomegalovirus, Parvovirus B19, Varicella Zoster, and Toxoplasmosis in Pregnancy. American College of Obstetricians and Gynecologists. 2015; 125(6):1510-1525. https://doi.org/10.1097/01.AOG.0000466430.19823.53
Subramaniam A, Britt W.J. Herpesviridae Infection: Prevention, Screening, and Management. Clinical Obstetrics And Gynecology. 2018;61(1):157-176 https://doi.org/10.1097/GRF.0000000000000335
Bialas KM, Swamy GK, Permar SR. Perinatal Cytomegalovirus and Varicella Zoster Virus Infections. Clinics in Perinatology. 2015 03;42(1):61-75. https://doi.org/10.1016/j.clp.2014.10.006
Swamy GK, Dotters-Katz SK. Safety and varicella outcomes after varicella zoster immune globulin administration in pregnancy. American Journal of Obstetrics and Gynecology. 2019 Dec;221(6):655-656. https://doi.org/10.1016/j.ajog.2019.07.003