Oladokun Regina Eziuka, Olomukoro Chikodili N, Owa Adewale B
Department of Paediatrics, College of Medicine, University of Ibadan and University College Hospital , Ibadan.
Department of Paediatrics, National Hospital , Abuja, Nigeria.
Clin Pract. 2013 May 20;3(2):e16. doi: 10.4081/cp.2013.e16. eCollection 2013 Aug 2.
Varicella results from a primary infection with the varicella virus while herpes zoster is caused by a reactivation of a latent infection. Dissemination of herpes zoster is uncommon in immunocompetent individuals. Reports of disseminated herpes zoster in children are even less common than in adults. An unusual case of disseminated herpes zoster ophthalmicus in an 8-year old immunocompetent black boy is presented. He had a previous primary Varicella zoster virus infection at three years of age. In the current report, he presented during an on-going chicken pox outbreak and survived with no significant complications. A breakthrough varicella virus re-infection or a reactivation is possible, both of which could present as zoster. This case emphasizes the need for prevention of varicella virus infection through universal childhood immunization and effective infection control strategies in health care settings.
水痘是由初次感染水痘病毒引起的，而带状疱疹则是由潜伏感染的重新激活所致。在免疫功能正常的个体中，播散性带状疱疹并不常见。儿童播散性带状疱疹的报告比成人更为少见。本文报告了一例8岁免疫功能正常的黑人男孩发生播散性眼带状疱疹的罕见病例。他曾在3岁时初次感染水痘带状疱疹病毒。在本报告中，他在水痘疫情持续期间发病，最终存活且无明显并发症。水痘病毒可能发生突破性再感染或重新激活，两者均可能表现为带状疱疹。该病例强调了通过普遍的儿童免疫接种以及医疗保健机构有效的感染控制策略来预防水痘病毒感染的必要性。
