Genitourinary anomaly in congenital varicella syndrome: Case report and review

Hisayo Fujita, Akira Yoshii, Jun Maeda, Kenjiro Kosaki, Seiichiro Shishido, Hideo Nakai, Midori Awazu

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

We describe a 1-year-old boy with congenital varicella syndrome who had vesicoureteral reflux (VUR) and neurogenic bladder. His mother had varicella during the 3rd month of pregnancy. At birth the patient presented with right microphthalmia, right microcornea, and persistent hyperplastic primary vitreous of the right eye. He had chronic constipation from 3 months of age. He had urinary tract infection at 1 year of age. Urological investigation revealed left grade V VUR and neurogenic bladder. His varicella zoster virus IgG titer measured by ELISA was 39.4 antibody index (normal <0.1). He had repeated episodes of urinary tract infection despite antibiotic prophylaxis and clean intermittent catheterization, and underwent a uretero-vesiconeostomy at 2 years of age. Maternal infection during early pregnancy and the serological evidence of varicella zoster IgG antibodies without a history of varicella after birth led to the diagnosis of congenital varicella syndrome. Urogenital anomalies have previously been described in 14 cases of congenital varicella syndrome. Most of these patients had neurogenic bladder, the pathophysiology of which could be explained by the known neurotropic nature of the virus.

Original languageEnglish
Pages (from-to)554-557
Number of pages4
JournalPediatric Nephrology
Volume19
Issue number5
DOIs
Publication statusPublished - 2004 May

Fingerprint

Chickenpox
Neurogenic Urinary Bladder
Vesico-Ureteral Reflux
Urinary Tract Infections
Persistent Hyperplastic Primary Vitreous
Immunoglobulin G
Mothers
Intermittent Urethral Catheterization
Parturition
Microphthalmos
Pregnancy
Human Herpesvirus 3
Antibiotic Prophylaxis
Antibodies
Herpes Zoster
Constipation
Viral Load
Enzyme-Linked Immunosorbent Assay
Viruses
Infection

Keywords

  • Congenital varicella syndrome
  • Constipation
  • Microphthalmia
  • Neurogenic bladder
  • Vesicoureteral reflux

ASJC Scopus subject areas

  • Nephrology
  • Pediatrics, Perinatology, and Child Health

Cite this

Genitourinary anomaly in congenital varicella syndrome : Case report and review. / Fujita, Hisayo; Yoshii, Akira; Maeda, Jun; Kosaki, Kenjiro; Shishido, Seiichiro; Nakai, Hideo; Awazu, Midori.

In: Pediatric Nephrology, Vol. 19, No. 5, 05.2004, p. 554-557.

Research output: Contribution to journalArticle

Fujita, H, Yoshii, A, Maeda, J, Kosaki, K, Shishido, S, Nakai, H & Awazu, M 2004, 'Genitourinary anomaly in congenital varicella syndrome: Case report and review', Pediatric Nephrology, vol. 19, no. 5, pp. 554-557. https://doi.org/10.1007/s00467-004-1420-5
Fujita, Hisayo ; Yoshii, Akira ; Maeda, Jun ; Kosaki, Kenjiro ; Shishido, Seiichiro ; Nakai, Hideo ; Awazu, Midori. / Genitourinary anomaly in congenital varicella syndrome : Case report and review. In: Pediatric Nephrology. 2004 ; Vol. 19, No. 5. pp. 554-557.
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