Abstract
Herpes zoster is caused by the varicella zoster virus and is an acute vesiculobullous cutaneous infection.
Although this disease is commonly seen in adults and immunocompromised individuals, it is uncommon in
healthy children and extremely rare in children younger than ten years old. Typical sites of involvement
include the thoracic, cervical, ophthalmic, and lumbosacral regions. Herpes zoster is a painful
neurocutaneous disease. Before the onset of a skin rash in herpes zoster infections, pain occurs along the
dermatomes. Restlessness could be a warning sign of infection in young children.
We report the case of a six-month-old female infant with lumbosacral herpes zoster infection to emphasize
the fact that it is rarely diagnosed in this age group. Patients can present with irritability; therefore, a complete
physical examination is necessary in all patients with this symptom to prevent missed diagnoses.
Keywords
References
- 1. Leung A.K, Robson W.L, Leong A.G. Herpes zoster in childhood. J Pediatr Health Care 2006;20(5):300-3. 2. Feder H.M Jr, Hoss D.M. Herpes zoster in otherwise healthy children. Pediatr Infect Dis J 2004;23(5):451-7. 3. Kurlan J.G, Connelly B.L, Lucky A.W. Herpes zoster in the first year of life following postnatal exposure to varisella zoster virus: four case report and a review of i n f a n t i l e h e r p e s z o st e r. A r c h D e rma t o l 2004;140(10):1268-72. 4. Yalaki Z, Öztürk A, Taşar M.A, Dallar Y. Herpes zoster infections in healthy children. Çocuk Enf Derg 2010;4:96-9 5. Sauerbrei A, Eichhorn U, Schacke M, Wutzler P. Laboratory diagnosis of herpes zoster. J Clin Virol. 1999;14(1):31–36 6.Gross G, Doerr H.W. Herpes zoster guideline of the German Dermatology Society. J Clinical Virology 2003;27(3):308-9. 7.Kara A. Acyclovir Indication in Varisella Zoster Virus Infections. Çocuk Enf Derg 2007;1:162-6. 8.Petursson G, Helgason S, Gudmundsson S, Sigurdsson J.A. Herpes zoster in children and adolescents. Pediatr Infect Dis J 1998;17(10):905-8. 9.Grote V, von Kries R, Rosenfeld E, Belohradsky B.H, Liese J. Immunocompetent children account for the majority of complications in childhood herpes zoster. J Infect Dis 2007;196(10):1455-8. 10.Peña J.A, Pirics M.L, DiCaprio H.S, et al. Varisella reactivation presenting as shingles and aseptic meningitis in an immunocompetent 11-year-old boy. Clin Pediatr 2009;48(4):435-7
Abstract
Herpes zoster enfeksiyonu, varisella zoster virüsü tarafından oluşturulan akut vezikülobüllöz bir cilt
hastalığıdır. Hastalık ileri yaşlarda ve immün sistemi baskılanmış kişilerde daha sık görülmekle birlikte
sağlıklı çocuklarda oldukça nadirdir. On yaşından küçük çocuklarda ise oldukça nadirdir. Bu hastalıkta, tipik
tutulum bölgeleri sıklık sırasına göre; torakal, servikal, oftalmik ve lumbosakral bölgelerdir. Herpes zoster
enfeksiyonunda döküntü öncesi ilgili dermatom bölgesinde ağrı ortaya çıkar ve ağrı sonrasında döküntü
izlenir. Küçük çocuklarda huzursuzluk uyarıcı bir bulgu olabilir.
Bu yazıda 6 aylık bir kız çocuğunda saptanan lumbosakral bölge yerleşimli herpes zoster enfeksiyonu, bu yaş
grubunda herpes zoster enfeksiyonunun nadir görülmesi ve huzursuzluk nedeni olabileceğini, tam bir fizik
muayene yapılmaması durumunda gözden kaçabileceğini, vurgulamak amacıyla sunuyoruz.
Keywords
References
- 1. Leung A.K, Robson W.L, Leong A.G. Herpes zoster in childhood. J Pediatr Health Care 2006;20(5):300-3. 2. Feder H.M Jr, Hoss D.M. Herpes zoster in otherwise healthy children. Pediatr Infect Dis J 2004;23(5):451-7. 3. Kurlan J.G, Connelly B.L, Lucky A.W. Herpes zoster in the first year of life following postnatal exposure to varisella zoster virus: four case report and a review of i n f a n t i l e h e r p e s z o st e r. A r c h D e rma t o l 2004;140(10):1268-72. 4. Yalaki Z, Öztürk A, Taşar M.A, Dallar Y. Herpes zoster infections in healthy children. Çocuk Enf Derg 2010;4:96-9 5. Sauerbrei A, Eichhorn U, Schacke M, Wutzler P. Laboratory diagnosis of herpes zoster. J Clin Virol. 1999;14(1):31–36 6.Gross G, Doerr H.W. Herpes zoster guideline of the German Dermatology Society. J Clinical Virology 2003;27(3):308-9. 7.Kara A. Acyclovir Indication in Varisella Zoster Virus Infections. Çocuk Enf Derg 2007;1:162-6. 8.Petursson G, Helgason S, Gudmundsson S, Sigurdsson J.A. Herpes zoster in children and adolescents. Pediatr Infect Dis J 1998;17(10):905-8. 9.Grote V, von Kries R, Rosenfeld E, Belohradsky B.H, Liese J. Immunocompetent children account for the majority of complications in childhood herpes zoster. J Infect Dis 2007;196(10):1455-8. 10.Peña J.A, Pirics M.L, DiCaprio H.S, et al. Varisella reactivation presenting as shingles and aseptic meningitis in an immunocompetent 11-year-old boy. Clin Pediatr 2009;48(4):435-7
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | August 30, 2015 |
| Submission Date | January 10, 2015 |
| Acceptance Date | April 9, 2015 |
| Published in Issue | Year 2015 Volume: 12 Issue: 2 |
Harran Üniversitesi Tıp Fakültesi Dergisi / Journal of Harran University Medical Faculty