Aikenhead Kristine J, Johnson Theodore L
Department of Clinical Sciences, National University of Health Sciences, Lombard, IL 60148, USA.
J Chiropr Med. 2011 Dec;10(4):306-9. doi: 10.1016/j.jcm.2011.04.003.
The purpose of this report is to present a case of herpes zoster in a 6-month-old infant, conservatively managed without oral antivirals, and its 13-year follow-up, demonstrating no sequelae or recurrences.
A 6-month-old white female infant presented with a vesicular rash of the right lower extremity to a chiropractic office. The rash consisted of grouped vesicles on erythematous plaques, the characteristic herpetiform lesion, distributed in the S1 dermatome of the right lower extremity only. The infant's history was significant for exposure to chicken pox at age 1 week through siblings. Consequently, only one vesicle developed, representing subclinical chicken pox. The clinical diagnosis of herpes zoster was made.
The infant was treated conservatively at home. Treatment consisted of aluminum acetate (Burow) solution compresses 3 times each day, followed by a loose dressing. The lesions crusted in 1 week and completely resolved in 2 weeks. Follow-up, consisting of 13 years of observation, demonstrated no evidence of sequelae, such as postherpetic neuralgia, or recurrence.
Herpes zoster is uncommon in infants; however, it may occur. The presentation of the rash is characteristic; but otherwise, the condition differs from that in adults in that it is mild and not associated with postherpetic neuralgia. In uncomplicated cases, conservative treatment measures support the quick resolution with no sequelae.
本报告旨在介绍一例6个月大婴儿的带状疱疹病例，该病例未经口服抗病毒药物进行保守治疗，并对其进行了13年的随访，结果显示无后遗症或复发情况。
一名6个月大的白人女婴因右下肢出现水疱疹前往整脊诊所就诊。皮疹表现为红斑斑块上的成簇水疱，这是典型的疱疹样损害，仅分布于右下肢的S1皮节。该婴儿有1周龄时通过兄弟姐妹接触水痘的病史。因此，仅出现了一个水疱，代表亚临床水痘。做出了带状疱疹的临床诊断。
婴儿在家中接受保守治疗。治疗方法为每天用醋酸铝（布罗）溶液湿敷3次，然后进行宽松包扎。皮损在1周内结痂，2周内完全消退。随访13年，未发现后遗症（如疱疹后神经痛）或复发的迹象。
带状疱疹在婴儿中并不常见；然而，它可能会发生。皮疹的表现具有特征性；但除此之外，该病与成人的情况不同，其症状较轻，且不伴有疱疹后神经痛。在无并发症的病例中，保守治疗措施有助于快速康复且无后遗症。
