PT - JOURNAL ARTICLE AU - Patricia A H Hamers AU - Steven F T Thijsen AU - René van der Griend AU - Lenneke E M Haas TI - An ICU patient with spots and a peculiar pneumonia AID - 10.1136/bcr-2013-008693 DP - 2013 Mar 20 TA - BMJ Case Reports PG - bcr2013008693 VI - 2013 4099 - http://casereports.bmj.com/content/2013/bcr-2013-008693.short 4100 - http://casereports.bmj.com/content/2013/bcr-2013-008693.full AB - This is the first report of varicella zoster virus (VZV) pneumonia in an adult patient treated with rituximab because of autoimmune haemolytic anaemia and it illustrates that a VZV infection should be considered when an immunocompromised patient develops pulmonary symptoms, even in the absence of cutaneous lesions. It also depicts the importance of performing varicella serology in patients receiving multiple immunosuppressive agents.