scholarly journals Recurrent Herpes Zoster in an Immunocompetent Male: A Case Report

2021 ◽  
Vol 59 (243) ◽  
pp. 1180-1181
Author(s):  
Niraj Parajuli ◽  
Rushma Shrestha ◽  
Laila Lama ◽  
Anupama Karki
Keyword(s):  
Case Report ◽  
Herpes Zoster ◽  
Young Male ◽  
Oral Acyclovir ◽  
Immunocompetent Host ◽  
Varicella Zoster ◽  
Recurrent Herpes ◽  
The Right ◽  
Work Up ◽  
Rule Out

Herpes zoster is an infection caused by reactivation of varicella-zoster virus presenting as multiple grouped vesicular eruptions in a dermatomal pattern with associated pain. Recurrent herpes zoster is an uncommon event in an immunocompetent host. Here, we report a case of a young male presenting with herpes zoster over the T9 and T10 dermatome with the previous scarring of herpes zoster over the T6 dermatome over the right upper trunk. The patient improved on treatment with oral acyclovir and analgesics. In any patient with recurrenrt hepes zoster, work-up should be done to rule out immunosuppresion.

scholarly journals Herpes zoster recurrence within 1 month: A case report

2021 ◽  
Vol 19 ◽  
pp. 205873922110212
Author(s):  
Nan Zhao ◽  
Yulan Geng ◽  
Yexian Li ◽  
Lijuan Liu ◽  
Yanjia Li ◽  
...  
Keyword(s):  
Flow Cytometry ◽  
Case Report ◽  
Herpes Zoster ◽  
B Cells ◽  
Varicella Zoster Virus ◽  
Lower Limit ◽  
Skin Disease ◽  
Clinical Manifestations ◽  
Varicella Zoster ◽  
Humoral Immune

Herpes zoster (HZ), caused by the varicella-zoster virus, is an infectious skin disease that rarely recurs after initial presentation. The mechanism underlying HZ recurrence is currently under investigation. In this article, we report a case of HZ relapse within 1 month. Analysis of patient’s clinical manifestations, histopathological features, and flow cytometry results indicated that the absolute and percentage values of B cells were below the lower limit. We hypothesized that the patient had abnormal humoral immune function, which may be one reason leading to the HZ relapse within 1 month. The findings of this case will serve as useful reference for HZ recurrence for clinicians. This case was impactful and added to the literature on HZ recurrence.

scholarly journals AN UNUSUAL CASE OF MULTI-RECURRENT HERPES ZOSTER (HZ): A CASE REPORT

2011 ◽  
Vol 155 (4) ◽  
pp. 397-401 ◽  
Author(s):  
Vanda Bostikova ◽  
Miloslav Salavec ◽  
Jan Smetana ◽  
Roman Chlibek ◽  
Pavel Kosina ◽  
...  
Keyword(s):  
Case Report ◽  
Herpes Zoster ◽  
Unusual Case ◽  
Recurrent Herpes

scholarly journals Herpes Zoster pada Anak – Laporan Kasus

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Thigita A. Pandaleke ◽  
Herry E. J. Pandaleke ◽  
Ratna I. Susanti ◽  
Julieta D. P. Dotulong
Keyword(s):  
Herpes Zoster ◽  
Physical Examination ◽  
Primary Infection ◽  
Giant Cells ◽  
Lumbar Region ◽  
Sensory Ganglia ◽  
Laboratory Findings ◽  
Varicella Zoster ◽  
History Of ◽  
The Right

Abstract: Herpes zoster (HZ) is an acute vesicular eruption caused by latent varicella zoster virus (VVZ) reactivation in sensory ganglia after primary infection. Its incidence increases with age and it is rarely found in children. We reported a case of 10-year-old male with blisters on the right side of his stomach and back 3 days ago. The patient was suffered from fever, common cold, and cough a week before, and had a history of varicella at 5 years old. Dermatologic status showed multiple vesicles on erythematous base at the anterior dan posterior sides of his right lumbar region. The Tzank test showed multinucletaed giant cells. Acyclovir resulted in significant improvement after 7- day therapy. Conclusion: Diagnosis of herpes zoster was based on anamnesis, physical examination, and laboratory findings. Antiviral drugs was aimed to reduce complications and viral shedding.Keywords: Herpes zoster, childAbstrak: Herpes zoster (HZ) merupakan erupsi vesikuler akut yang disebabkan oleh reaktivasi dari virus varisela zoster (VVZ) laten pada ganglia sensoris yang sebelumnya terpajan dengan infeksi primer varisela. Insiden HZ meningkat seiring pertambahan usia dan jarang ditemukan pada anak-anak. Kami melaporkan kasus seorang anak laki-laki, 10 tahun, dengan bintil-bintil berair di perut dan punggung sebelah kanan sejak 3 hari lalu. Riwayat demam, batuk dan pilek 1 minggu sebelum timbul lesi. Riwayat varisela pada usia 5 tahun. Status dermatologis ditemukan vesikel multipel berisi cairan jernih yang tersusun bergerombol di atas kulit yang eritema di regio lumbar dekstra anterior dan posterior. Tes Tzank memperlihatkan sel raksasa berinti banyak. Pasien diterapi dengan asiklovir oral selama 7 hari dan menunjukkan perbaikan yang bermakna. Simpulan: Anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang kasus ini khas untuk herpes zoster. Pemberian obat antiviral bertujuan untuk mengurangi komplikasi dan menurunkan viral shedding.Kata kunci: herpes zoster, anak

Herpes Zoster-Associated Encephalitis in a Patient Undergoing CAPD: Case Report and Literature Review

2007 ◽  
Vol 27 (4) ◽  
pp. 391-394 ◽  
Author(s):  
Kim C.E. Sigaloff ◽  
Carola W.H. de Fijter
Keyword(s):  
Differential Diagnosis ◽  
Peritoneal Dialysis ◽  
Case Report ◽  
Herpes Zoster ◽  
Literature Review ◽  
Neurological Complications ◽  
Cognitive Status ◽  
Dialysis Patients ◽  
Varicella Zoster ◽  
Capd Patient

Neurological complications of varicella zoster virus (VZV) reactivation have rarely been described in dialysis patients. We report a case of a continuous ambulatory peritoneal dialysis (CAPD) patient who developed herpes zoster encephalitis. The patient was treated with acyclovir and steroids and had a slow but complete return to her prior cognitive status. The available literature is reviewed and the differential diagnosis with acyclovir toxicity is discussed.

scholarly journals Localized idiopathic root resorption in the primary dentition: Review of the literature and a case report

2015 ◽  
Vol 09 (04) ◽  
pp. 603-609 ◽  
Author(s):  
Atefeh Nasehi ◽  
Fatemeh Mazhari ◽  
Nooshin Mohtasham
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Primary Dentition ◽  
Radiographic Evaluation ◽  
Second Molar ◽  
Systemic Factors ◽  
Space Maintainer ◽  
Abnormal Pattern ◽  
The Right ◽  
Rule Out

ABSTRACTIdiopathic root resorption (IRR) is an infrequent condition that is usually found as an accidental finding on radiography. A significant number of cases of IRR in permanent dentition have been presented but are rarely reported in primary dentition. The aim of this case report is to present a case of localized IRR in a 7-year-old boy. The patient was referred because of increased mobility of the left mandibular primary second molar. On radiographic evaluation, severe root resorption of that tooth, and mild root resorption of the right mandibular primary second molar were evident; the patient was caries-free. The left affected tooth was lost, and after placing a band and loop space maintainer, the patient was followed for 18 months. A patient with an abnormal pattern of root resorption, especially in the primary dentition, should alert the clinician to rule out the known important local and systemic factors. The exact causes of and treatments for IRR continue to be discovered.

scholarly journals An adult co-presented with varicella and herpes zoster caused by varicella zoster virus genotype J, China: a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Guangcheng Xie ◽  
Qiongling Wei ◽  
Wenping Guo ◽  
Dan Li ◽  
Pingping Sun ◽  
...  
Keyword(s):  
Case Report ◽  
Herpes Zoster ◽  
Varicella Zoster Virus ◽  
Virus Genotype ◽  
Varicella Zoster

scholarly journals Fibromatosis Presenting as Acute Mastoiditis: A Case Report

2005 ◽  
Vol 84 (2) ◽  
pp. 94-96
Author(s):  
Antonis Kaberos ◽  
Dimitris G. Balatsouras ◽  
Thisvi Vasilakaki ◽  
Nicolas C. Economou ◽  
Anastasios Leontiadis
Keyword(s):  
Case Report ◽  
Postoperative Period ◽  
Acute Mastoiditis ◽  
Microscopic Appearance ◽  
Mastoid Bone ◽  
The Right ◽  
Second Procedure ◽  
Work Up ◽  
Detailed Work

We describe the case of a middle-aged man who presented with manifestations of acute mastoiditis caused by fibromatosis of the mastoid region. A lesion of the right mastoid bone had eroded its wall and extended toward the middle and posterior cranial fossae. The macroscopic and microscopic appearance of an excised portion of the lesion established the diagnosis of mastoid fibromatosis. After a more detailed work-up, a second procedure involving extensive removal of the tumor was performed, and the diagnosis was confirmed. The patient's postoperative period was uneventful, and he showed no evidence of recurrence during 3 years of follow-up.

▾Oral acyclovir for herpes zoster

1988 ◽  
Vol 26 (24) ◽  
pp. 93-94
Keyword(s):  
Herpes Zoster ◽  
Herpes Simplex ◽  
Intravenous Infusion ◽  
Oral Acyclovir ◽  
Alternative Treatments ◽  
Varicella Zoster

In 1984 we hailed acyclovir (ACV; Zovirax - Wellcome) as an advance in the treatment of herpes simplex and varicella zoster infections.1 Most trials showing its value in zoster involved intravenous infusion in hospital, yet most patients would not otherwise need admission. Oral ACV is now vigorously promoted “to quench the fire of shingles” in the community. At least 20% of adults have zoster at some time, and most recover spontaneously. How does oral ACV compare with alternative treatments for zoster, and when is it worth using?

scholarly journals Clinical Study on Outcome of Treatment for Herpes Zoster

2021 ◽  
Author(s):  
Kishan Rasubhai Ninama ◽  
Rashmi Samir Mahajan ◽  
Atmakalyani Rashmi Shah ◽  
Apexa Prakash Jain
Keyword(s):  
Herpes Zoster ◽  
Lupus Erythematosus ◽  
De Novo ◽  
Clinical Manifestations ◽  
Pemphigus Vulgaris ◽  
Clinical History ◽  
Skin Lesions ◽  
Enzyme Linked Immunosorbent Assay ◽  
Oral Acyclovir ◽  
Varicella Zoster

Introduction: Herpes Zoster (HZ) is caused by reactivation of Varicella Zoster Virus (VZV). It is characterised by occurrence of grouped vesicles on erythematous base which involves the entire dermatome innervated by a single spinal or cranial sensory ganglion and is associated with radicular pain. Antivirals (Acyclovir, Famciclovir and Valacyclovir) started within 72 hours of onset of lesions are the agents of choice. Aim: To study the clinical manifestations, comorbidities, efficacy and safety of Acyclovir, complications and sequelae associated with HZ. Materials and Methods: A 3-year longitudinal cohort study was conducted in 212 adult patients (>18 years of age) suffering with HZ in the Department of Dermatology, Dhiraj General Hospital, Pipariya, Gujarat, India. In this study 212 patients with HZ were prescribed oral Acyclovir in a dose of 800 mg 5 times a day for 7 days. All patients were analysed in terms of clinical manifestations, pre-existing co-morbidities and incidence of complications. The clinical history and findings were recorded in a prestructured proforma. All patients were subjected to cytological examination (Tzanck smear) and Human immunodeficiency viruses (HIV) testing Enzyme-Linked Immunosorbent Assay (ELISA). Diagnosis was made primarily on the basis of clinical findings and presence of multinucleated giant cells in Tzanck smear. All the patients were treated with Oral Acyclovir. Cases were followed-up fortnightly for six weeks and evaluated for relief of symptoms, treatment outcome and complications/sequelae. Results: Two hundred and twelve cases were studied. One hundred and forty-two cases were in the 4th and 5th decades of life. Sixty-three cases had comorbidities like diabetes mellitus in 31, autoimmune diseases like pemphigus vulgaris, systemic lupus erythematosus, rheumatoid arthritis and inflammatory bowel disease in 19 and AIDS in 8 cases. Five cases had malignancy/lymphomas and were receiving chemotherapy for the same. In the majority, HZ occurred de novo without any comorbidities. The most common dermatomes involved were cervical and thoracic. Out of 212 cases Oral Acyclovir 800 mg was well tolerated by 74. Most common complication was Postherpetic Neuralgia (PHN), seen in 80 cases. Conclusion: The treatment of HZ with Oral Acyclovir 800 mg 5 times a day for 7 days is efficacious for healing of skin lesions and also reduces the chances of PHN if instituted within 72 hours.

scholarly journals Orofacial Herpes Zoster Infection in Dental practice: A Case Report

2020 ◽  
Vol 58 (231) ◽  
Author(s):  
Deepa Gurung ◽  
Ujjwal Joshi ◽  
Bikash Chaudhary
Keyword(s):  
Case Report ◽  
Herpes Zoster ◽  
Trigeminal Nerve ◽  
Maculopapular Rash ◽  
Dental Practice ◽  
Herpes Zoster Infection ◽  
Prodromal Symptoms ◽  
Varicella Zoster ◽  
Burning Pain ◽  
Ophthalmic Branch

Herpes zoster infection, commonly known as Shingles, is caused by reactivation of the Varicella-Zoster virus which may have remained latent in the dorsal root ganglia. HZI is characterized by prodromal symptoms of unilateral deep aching, burning pain followed by a maculopapular rash, vesicular eruptions, ulcers, and scab formations over the affected nerve distribution. The ophthalmic branch of the trigeminal nerve is more commonly involved in HZI than maxillary and mandibular branches; in particular, the maxillary involvement is rare. This is a case report of HZI in a 65-years-old male patient involving the maxillary division of the trigeminal nerve. This case highlights the importance of early diagnosis and prompt use of antivirals in managing orofacial HZI in dental practice.

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