Dias, Filipa Mestre A.Marçal, FilipaOliveira, Joana A.Póvoas, MartaMouzinho, Ana IsabelMarques, José Gonçalo2022-03-182022-03-182015Case Reports J Pediatr. 2015 Jan;166(1):1990022-3476http://hdl.handle.net/10451/51833Copyright © 2015 Elsevier Inc. All rights reserved.A 4-year-old boy presented to the hospital in the sixth day of ongoing varicella infection with high fever, respiratory distress, and hypoxemia. Physical examination showed tachypnea, a generalized vesicular exanthema, perioral impetigo, bilateral rales, and diminished breath sounds at pulmonary auscultation. Chest radiograph revealed bilateral, multifocal, heterogeneous alveolar opacities with nodular pattern, reaching the periphery.engjournal article10.1016/j.jpeds.2014.09.0471097-6833