Petrun Branden, Williams Victoria, Brice Sylvia
University of Colorado School of Medicine.
Dermatol Online J. 2015 Feb 22;21(3):13030/qt3cz2x99b.
Varicella-zoster is the virus that causes varicella (chicken pox), herpes zoster (shingles), and rarely, severe disseminated disease including diffuse rash, encephalitis, hepatitis, and pneumonitis. Disseminated disease is most often seen in immunocompromised patients. We describe a case of disseminated zoster in an immunocompentent patient who had previously been immune to VZV. This case is also unusual in that his clinical presentation was most consistent with varicella while his laboratory data was most consistent with herpes zoster. For the purpose of rapid diagnosis and initiation of appropriate therapy, clinicians should be aware of these more atypical presentations of VZV infection.
水痘带状疱疹病毒是引起水痘（水痘）、带状疱疹（带状疱疹）的病毒，很少引起严重的播散性疾病，包括弥漫性皮疹、脑炎、肝炎和肺炎。播散性疾病最常见于免疫功能低下的患者。我们描述了一例免疫功能正常的患者发生播散性带状疱疹的病例，该患者此前对水痘带状疱疹病毒具有免疫力。该病例也很不寻常，因为其临床表现与水痘最为相符，而实验室数据与带状疱疹最为相符。为了快速诊断并开始适当治疗，临床医生应了解水痘带状疱疹病毒感染的这些更非典型的表现。
