Varicella Pneumonia Requires IV Acyclovir

Case highlights need for early intravenous antiviral treatment in adults with rash and hypoxia

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A 52-year-old man with varicella pneumonia was treated successfully with intravenous acyclovir after presenting with respiratory symptoms and a vesicular rash.
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Imaging findings in the patient included bilateral micronodules and ground-glass opacities, confirming the diagnosis of varicella pneumonia.
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Varicella pneumonia typically occurs within the first week after rash onset, especially in adults without prior immunity.
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Early initiation of intravenous acyclovir within 24 hours of rash onset is crucial for faster recovery and reduced mortality risk.
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The report emphasizes the need for prompt recognition and treatment of varicella pneumonia in adults with respiratory and dermatologic symptoms.

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