Case Series: Varicella-Zoster in Patients with Acute Lymphoblastic Leukemia. Lesson Learned from Managing Outbreak in Resource Limited Facility

Chicken pox is a self-limited exanthematous disease that primarily affects children. Varicella zoster virus (VZV) has been considered to be the causative agent. VZV infections manifest as varicella and herpes zoster usually cause mild infections, without any severe complications in immunocompetent children [1]. However, in certain individuals with immunocompromised status, the infection may show the disseminated from, and the complications; including bacterial superinfections, central nervous systems problems, coagulopathies may potentially fatal and disabling [1,2]. Even though varicella vaccine has been widely introduced in the world, it is only a handful of Indonesian could afford the vaccine, as Indonesian national vaccination program did not include varicella vaccine into the program.