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We report a tubo-ovarian abscess as an initial presentation of chickenpox in a 12-year-old female, a novel and unrecognized presentation of varicella in childhood. Unlike previously reported cases with varicella associated abscess that treated by intravenous antibiotics and surgical drainage, the current patient did not receive any medical or surgical therapy and spontaneous resolution of the abscess radiologically confirmed on serial follow up with imaging.<\/jats:p>","DOI":"10.1093\/omcr\/omaf224","type":"journal-article","created":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T12:13:13Z","timestamp":1758888793000},"source":"Crossref","is-referenced-by-count":0,"title":["Tubo-ovarian abscess as an initial presentation of varicella in 12\u00a0years old child; a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8964-8943","authenticated-orcid":false,"given":"Nabeeha N","family":"Akram","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Mustansiriyah University , Al-Sakhra Intersection, Palestine Street, Baghdad 10064, Baghdad ,","place":["Iraq"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7029-0451","authenticated-orcid":false,"given":"Shaymaa K","family":"Abdulqader","sequence":"additional","affiliation":[{"name":"Department of Radiology Al-Kindy College of Medicine, University of Baghdad , Al-Nahdha square, P.O Box 47188, Al-rusafa District, Baghdad ,","place":["Iraq"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8749-2444","authenticated-orcid":false,"given":"Wassan N","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Mustansiriyah University , Palastine Street, Baghdad 10064 ,","place":["Iraq"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4112-1688","authenticated-orcid":false,"given":"Qays A","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Radiology Al-Kindy College of Medicine, University of Baghdad , Al-Nahdha square, P.O Box 47188, Al-rusafa District, Baghdad ,","place":["Iraq"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,12,27]]},"reference":[{"key":"2025122707041817700_ref1","doi-asserted-by":"publisher","first-page":"935","DOI":"10.1111\/apa.16300","article-title":"Atypical primary varicella rash: systematic literature review","volume":"111","author":"Mazzara","year":"2022","journal-title":"Acta Paediatr"},{"key":"2025122707041817700_ref2","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1186\/s12879-025-10794-w","article-title":"Severe skin complications of varicella in previously healthy children in Iran: emerging concern","volume":"25","author":"Tabasizadeh","year":"2025","journal-title":"BMC Infect Dis"},{"key":"2025122707041817700_ref3","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1258\/smj.2011.012010","article-title":"Musculoskeletal 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literature","volume":"10","author":"Anant","year":"2021","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"2025122707041817700_ref7","doi-asserted-by":"publisher","first-page":"e13","DOI":"10.1016\/j.jpag.2008.03.006","article-title":"Tubo-ovarian abscess in virginal adolescents: exposure of the underlying Etiology","volume":"22","author":"Hartmann","year":"2009","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"2025122707041817700_ref8","doi-asserted-by":"publisher","first-page":"9298143","DOI":"10.1155\/2016\/9298143","article-title":"Varicella infection complicated by group a Beta-Hemolytic streptococcal retropharyngeal abscess","volume":"2016","author":"Clark","year":"2016","journal-title":"Case Rep Otolaryngol"},{"key":"2025122707041817700_ref9","doi-asserted-by":"publisher","first-page":"109904","DOI":"10.1016\/j.ijporl.2020.109904","article-title":"Retropharyngeal abscess and mediastinitis as an uncommon complication of varicella 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