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. 2020 Dec 1;183(6):1145–1147. doi: 10.1111/bjd.19484

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© 2020 British Association of Dermatologists

This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)

This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.

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(a) Next‐generation sequencing tests of pathogen from blood and deep sputum or bronchoalveolar lavage fluid (BAFL) samples. Viraemia [varicella zoster virus (VZV) and herpes simplex virus (HSV)‐1] and BAFL (HSV‐1) were detected on 8 March 2020 (N, not detected; red, high; pink, low), which might have resulted in aggravation of the disease course. The symptoms and laboratory indicators both improved after acyclovir treatment. (b) Clinical manifestation of herpes zoster. (c) Several small ulcers on the bronchial mucosa during the fibre optic bronchoscopy. VV‐ECMO, venovenous extracorporeal membrane oxygenation.