Viral Genome Sequencing Proves Nosocomial Transmission of Fatal Varicella

J Infect Dis. 2016 Nov 1;214(9):1399-1402. doi: 10.1093/infdis/jiw398. Epub 2016 Aug 28.

Abstract

We report the first use of whole viral genome sequencing to identify nosocomial transmission of varicella-zoster virus with fatal outcome. The index case patient, nursed in source isolation, developed disseminated zoster with rash present for 1 day before being transferred to the intensive care unit (ICU). Two patients who had received renal transplants while inpatients in an adjacent ward developed chickenpox and 1 died; neither patient had direct contact with the index patient.

Keywords: fatal varicella; nosocomial transmission; whole genome sequencing.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Chickenpox / transmission*
  • Chickenpox / virology*
  • Cross Infection / transmission*
  • Cross Infection / virology*
  • Female
  • Genome, Viral / genetics*
  • Herpes Zoster / transmission
  • Herpes Zoster / virology
  • Herpesvirus 3, Human / genetics*
  • Humans
  • Intensive Care Units
  • Kidney Transplantation / adverse effects
  • Male
  • Middle Aged