Published: 2020-06-23

Hemorrhagic chickenpox

Sonu Suman


Chickenpox (varicella) is self-limited disease caused by Varicella-Zoster virus (VZV). Hemorrhagic manifestation is rare complication in immunocompromised patient. Here we report a case of rare form of hemorrhagic chickenpox due to chronic alcohol intake. The course of illness was very fulminant and rapid.


Hemorrhagic chickenpox, Hemorrhagic varicella, Bleeding chickenpox, Fulminant chickenpox, Coagulopathy

Full Text:



Gnann JW. Varicella-Zoster virus: atypical presentations and unusual complication. J Infect Dis. 2002;186(1):91-8.

Sterling JC. Viral infection. In: Rook’s Textbook of Dermatology, 7th ed. Oxford: Blackwell; 2004: 25-83.

Preblud SR. Varicella: complications and cost. Pediatrics. 1981;68:14-7.

Straus SE, Ostrove JM, Inchauspe G, Felser JM, Freifeld A, Croen KD, et al. Varicella-Zoster virus infection: biology, natural history, treatment, and prevention. Ann Intern Med. 1988;108:221-37.

Weller TH. Varicella and herpes zoster: changing concept of the natural history, control, and importance of a not-so-beningn virus. N Engl J Med. 1983;1362(8):1434-40.

Kole AK, Roy R, Kole DC. An observational study of complications in chickenpox with special reference to unusual complications in an apex infectious disease hospital, Kolkata, India. J Postgrad Med. 2013;59:93-7.

Varicella. Public Health Foundation. 12th ed. chapter 21. Epidemiology and Prevention of Vaccine. Preventable Disease (The Pink Book); 2012:303-304.

Levi GM, Toh CH, Thachil J, Watson HG. Guidelines for the diagnosis and management of disseminated intravascular coagulation. British Committee for Standards in Haematology. Br J Haematol. 2009;145(1):24-33.

Nguyen P, Reynaud J, Pouzol P, Munzer M, Richard O, François P. Varicella and thrombotic complications associated with transient protein C and protein S deficiencies in children. Eur J Pediatr. 1994;153:646-9.

Kurugol Z, Vardar F, Ozkinay F, Kavakli K, Ozkinay C. Lupus anticoagulant and protein S deficiency in otherwise healthy children with acute varicella infection. Acta Paediatr. 2000;89(10):1186-9.

James J, Corrigan JR, Watkins WL. Hemorrhagic chickenpox associated with disseminated intravascular coagulation. Am J Dis Child. 1973;126(5):629-32.