… but it can occur at any age

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Amanda J Barnes,
Alison S Johnson,
Maire P Shelly,
Clive I Orton

Registrar Senior registrar Microbiology Department, Manchester Public Health Laboratory, Withington Hospital, Manchester M20 2LR
Consultant in anaesthesia and intensive care Consultant plastic surgeon South Manchester University Hospital NHS Trust, Wythenshawe Hospital, Manchester M23 9LT

EDITOR,—In their lesson of the week Andrew J Pollard and colleagues report 13 cases of severe bacterial infection associated with infection with varicella zoster virus.1 While such infection is the commonest cause of morbidity related to chickenpox in otherwise healthy children, it is uncommon in adults.2 3 We report our recent experience of chickenpox complicated by necrotising fasciitis and the toxic shock syndrome in a 32 year old …