Pharyngolaryngeal herpes zoster: A pediatric case

Abstract

An 11-year-old boy was admitted to our hospital with a 4-day history of severe sore throat and a 2-day history of fever and cervical lymphadenopathy. A rapid antigen test for beta-hemolytic streptococci, performed at another hospital, was negative. He had varicella at 5 months of age; he was not administered a varicella vaccine afterwards.On admission, his vital signs were as follows: temperature, 37.3°C; pulse, 87 beats/min; and percutaneous oxygen saturation 98%. He complained of severe sore throat and odynophagia. Physical examination revealed a reddish throat and bilateral cervical lymphadenopathy. Rashes were not observed on his head, neck, trunk, nor his extremities. Because his sore throat was so severe, contrast-enhanced computed tomography was performed. The examination revealed thickening and enhancement of the left side of the pharyngolaryngeal mucosa a b c d Fig. 1 (a) Appearance of umbilical granuloma at 14 days of age. (b, c) Abdominal Doppler ultrasonography finding of an umbilical arteriovenous fistula. (b) Arterial blood was supplied from the abdominal wall. (c) The umbilical arterial blood drained into the umbilical vein. (d) The umbilicus after reconstruction.

Shingles in Children

“…25 Laryngeal HZ should be considered in a patient with characteristic symptoms and poor response to antibiotics. 24…”

“…3. Laryngeal HZ-symptoms include severe throat pain and dysphagia, sometimes accompanied by fever and cervical lymphadenopathy; it is diagnosed based on the laryngoscopic examination that shows mucosal lesions with a concomitant increase in VZV serum antibody titers or positive polymerase chain reaction (PCR) of the mucosal lesion 23,24 ; possible complications include chronic persisting cough. 25 Laryngeal HZ should be considered in a patient with characteristic symptoms and poor response to antibiotics.…”