Termal Tetikleyici: Sıcak Suya Maruz Kalma Sonrası Trigeminal Dermatomda Herpes Zoster Reaktivasyonunun Görüldüğü Sıra Dışı Bir Olgu
Abstract
Herpes zoster (HZ) veya zona, varisella-zoster virüsünün (VZV) reaktivasyonu sonucu ortaya çıkan viral bir hastalıktır. Reaktivasyon tipik olarak yaşlanma, immünosupresyon veya stres ile ilişkilendirilirken, bu vaka raporu alışılmadık bir tetikleyici sunmaktadır: sıcak suya maruz kalma. 76 yaşında bir kadın hastada, kazara sıcak suya maruz kalmasının ardından trigeminal sinir dermatomunda lokalize HZ gelişmiştir. Hasta asiklovir ile başarılı bir şekilde tedavi edilmiş ve semptomlar 14 gün içinde düzelmiştir. Bu vaka, HZ reaktivasyonu için olağandışı tetikleyicileri dikkate almanın önemini vurgulamakta ve komplikasyonları önlemek için hızlı tanı ve tedavi ihtiyacının altını çizmektedir.
References
- Werner, R., Nikkels, A., Marinović, B., et al. (2016, November 2). European consensus-based (S2k) Guideline on the Management of Herpes Zoster - guided by the European Dermatology Forum (EDF) in cooperation with the European Academy of Dermatology and Venereology (EADV), Part 2: Treatment. Journal of the European Academy of Dermatology and Venereology, 2106;31: 20-29.
- Topçu WA, Söyletir G, Doğanay M. Enfeksiyon Hastalıkları ve Mikrobiyolojisi. Fourth Edition. Ankara: Nobel Tıp Kitabevleri, 2017:1474-1478.
- Zaal MJW, Völker-Dieben HJ, D’Amaro J. Prognostic value of Hutchinson’s sign in acute herpes zoster ophthalmicus. Graefe’s Archive for Clinical and Experimental Ophthalmology 2003;241:187–191.
- Lıesegang T. Herpes Zoster Ophthalmicus Natural History, Risk Factors, Clinical Presentation, and Morbidity. Ophthalmology 2008;115:S3–12.
- Albietz JM, Lenton LM. Late Reactivation of Herpes Zoster Keratitis Results in Band Keratopathy. Optometry and Vision Science 2014;91:e149–155.
- Anderson E, Fantus RJ, Haddadin RI. Diagnosis and management of herpes zoster ophthalmicus. Disease-a-Month 2017;63:38–44.
- Gilden D, Cohrs RJ, Mahalingam R, et al. Varicella zoster virus vasculopathies: diverse clinical manifestations, laboratory features, pathogenesis, and treatment. The Lancet Neurology 2009;8:731-740.
- Yawn BP, Gilden D. The global epidemiology of herpes zoster. Neurology 2013;81:928-930.
- Hong M-J, Kim Y-D, Cheong Y-K, et al. Epidemiology of Postherpetic Neuralgia in Korea. Medicine 2016;95:e3304.
- Opstelten W, Zaal MJW. Managing ophthalmic herpes zoster in primary care. BMJ 2005;331:147-151.
Thermal Trigger: An Unusual Case of Herpes Zoster Reactivation in the Trigeminal Dermatome Following Hot Water Exposure
Abstract
Herpes zoster (HZ), or shingles, is a viral disease caused by the reactivation of the varicella-zoster virus (VZV). While reactivation is typically associated with aging, immunosuppression, or stress, this case report presents an unusual trigger: exposure to hot water. A 76-year-old woman developed HZ localized to the trigeminal nerve dermatome following accidental exposure to hot water. The patient was successfully treated with acyclovir, with symptoms resolving within 14 days. This case highlights the importance of considering unusual triggers for HZ reactivation and underscores the need for prompt diagnosis and treatment to prevent complications.
References
- Werner, R., Nikkels, A., Marinović, B., et al. (2016, November 2). European consensus-based (S2k) Guideline on the Management of Herpes Zoster - guided by the European Dermatology Forum (EDF) in cooperation with the European Academy of Dermatology and Venereology (EADV), Part 2: Treatment. Journal of the European Academy of Dermatology and Venereology, 2106;31: 20-29.
- Topçu WA, Söyletir G, Doğanay M. Enfeksiyon Hastalıkları ve Mikrobiyolojisi. Fourth Edition. Ankara: Nobel Tıp Kitabevleri, 2017:1474-1478.
- Zaal MJW, Völker-Dieben HJ, D’Amaro J. Prognostic value of Hutchinson’s sign in acute herpes zoster ophthalmicus. Graefe’s Archive for Clinical and Experimental Ophthalmology 2003;241:187–191.
- Lıesegang T. Herpes Zoster Ophthalmicus Natural History, Risk Factors, Clinical Presentation, and Morbidity. Ophthalmology 2008;115:S3–12.
- Albietz JM, Lenton LM. Late Reactivation of Herpes Zoster Keratitis Results in Band Keratopathy. Optometry and Vision Science 2014;91:e149–155.
- Anderson E, Fantus RJ, Haddadin RI. Diagnosis and management of herpes zoster ophthalmicus. Disease-a-Month 2017;63:38–44.
- Gilden D, Cohrs RJ, Mahalingam R, et al. Varicella zoster virus vasculopathies: diverse clinical manifestations, laboratory features, pathogenesis, and treatment. The Lancet Neurology 2009;8:731-740.
- Yawn BP, Gilden D. The global epidemiology of herpes zoster. Neurology 2013;81:928-930.
- Hong M-J, Kim Y-D, Cheong Y-K, et al. Epidemiology of Postherpetic Neuralgia in Korea. Medicine 2016;95:e3304.
- Opstelten W, Zaal MJW. Managing ophthalmic herpes zoster in primary care. BMJ 2005;331:147-151.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 28, 2023 |
| Submission Date | May 20, 2023 |
| Acceptance Date | June 8, 2023 |
| Published in Issue | Year 2023 Volume: 5 Issue: 2 |
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