Faria Catarina, Antunes Ana, Antunes Henedina, Carvalho Susana
Department of Pediatrics, Hospital de Braga, Braga, Portugal.
Life and Health Sciences Research Institute (ICVS), School of Health Sciences; ICVS/3B's-PT Government Associate Laboratory, Universidade do Minho, Braga/Guimarães, Portugal.
BMJ Case Rep. 2018 Jun 12;2018:bcr-2018-225355. doi: 10.1136/bcr-2018-225355.
Herpes zoster, caused by varicella zoster virus (VZV) reactivation, affects mainly the adult population, although it can occur in children. This happens when primary infection (varicella) has occurred at a very young age or in immunocompromised patients. Complications are rare in healthy individuals. They include VZV cutaneous dissemination, which affects 2%-10% of immunocompromised patients.We present a previously healthy child, with history of varicella during her first month of life, which presented at age 8 with a severe case of herpes zoster, complicated with cutaneous dissemination. Immunity study was unremarkable. Causes, management and follow-up are discussed.
带状疱疹由水痘-带状疱疹病毒（VZV）再激活引起，主要影响成人，但也可能发生在儿童身上。这种情况发生在极幼年时发生原发性感染（水痘）或免疫功能低下的患者身上。健康个体中并发症很少见。并发症包括VZV皮肤播散，影响2%-10%的免疫功能低下患者。我们报告一名既往健康的儿童，在出生后第一个月患过水痘，8岁时出现严重的带状疱疹病例，并伴有皮肤播散。免疫研究无异常。本文讨论了病因、治疗和随访情况。
