Jethwa Tarang, Bertasi Raphael A O, Kieneker Lisa, Pattanaik Sweta, Pujalte George
Family Medicine, Mayo Clinic, Jacksonville, USA.
Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, USA.
Cureus. 2020 Jul 20;12(7):e9293. doi: 10.7759/cureus.9293.
Herpes zoster is an infection resulting from the reactivation of dormant varicella zoster virus (VZV) in a posterior dorsal root ganglion. It affects 50% of immunocompromised patients and, when the viral infection persists, it can lead to a process known as disseminated varicella zoster virus (dVZV). Here we discuss a case of a bullous presentation of VZV with a rapid evolution of disseminated herpes zoster in an immunocompromised patient. Maintaining a broad differential diagnosis is necessary for early diagnosis and treatment of atypical presentations of herpes zoster, which is imperative to avoid increasing morbidity and mortality.
带状疱疹是由后根神经节中潜伏的水痘-带状疱疹病毒(VZV)重新激活引起的感染。它影响50%的免疫功能低下患者,当病毒感染持续存在时,可导致一种称为播散性水痘-带状疱疹病毒(dVZV)的病程。在此,我们讨论一例免疫功能低下患者出现大疱性VZV表现并迅速发展为播散性带状疱疹的病例。对于带状疱疹非典型表现的早期诊断和治疗,保持广泛的鉴别诊断是必要的,这对于避免发病率和死亡率的增加至关重要。