Características clínicas y evolutivas de una población con herpes zoster diseminado: un estudio de cohorte retrospectiva

Herpes Zoster Infection Presenting as Aseptic Meningitis and Dermatomal Rash in Immunocompetent Adult

“…A similar case report of herpes zoster in the young adult was reported by Kangath et al [5]. Most of the patients with herpes zoster commonly occurred in the immunocompromised people as reviewed by the Bollea-Garlatti et al [6]; however, our patient had negative workup for immunocompromised status. Only a few cases with herpes zoster presenting as aseptic meningitis in immunocompetent were reported in the medical literature [7].…”

Disseminated herpes zoster with cauda equina symptoms

“…PHN is the most common complication, however dVZV can also affect lungs, liver and brain [ 9 ]. Other rare and important complication that should be considered is VZV plexopathy, which is more common in the brachial than the lumbosacral plexus [ 10 , 11 ].…”

“…Several cases reported dVZV in immunocompetent patients, mostly aged greater than 60 years old, that were treated with IV therapy [ 12 ]. Advanced age is an important risk factor, due to the senescence of the immune system [ 9 ], causing a reduction in the T cell immunity to VZV. The treatment of choice is IV acyclovir [ 12 , 13 ]; minimal data has assessed oral therapy.…”

“…The treatment of choice is IV acyclovir [ 12 , 13 ]; minimal data has assessed oral therapy. If antiviral treatment is delayed there is an increased risk of development of disseminated VZV [ 9 ]. Therefore, when treating herpes zoster, it is imperative to initiate antiviral therapy within 72 h of onset of rash.…”

Bullous Disseminated Herpes Zoster: An Atypical Presentation

“…The reactivation of varicella zoster virus (VZV), which remains dormant in the sensory ganglia of the dorsal root, may cause a herpes zoster (HZ) infection [ 1 ]. It affects approximately 15% of immunocompetent patients, and the incidence can reach 50% in the immunocompromised population [ 2 ]. The main risk factor for this infection is advanced age due to senescence of the immune system.…”