A Case of Infantil Herpes Zoster

Yıl 2007, Cilt: 12 Sayı: 4, 313 - 314, 01.08.2007

Demet Çiçek

Öz

18-month infant patient applied to our polyclinic with the complaint of a wound on the back. It was determined that the patient had varicella due to anamnesis six months ago. As a result of the dermatological examination, it was determined that there were vesicules and hemorrhagic cruts at some points, which formed groups on the erythematic ground beginning on the middle line and including right scapular region and advancing towards the axiller region and the frontal surface of the body. In the laboratory examinations, in the tzanck smear test carried out on the vesicule liquid of the patient, multinuclear huge cells were determined and VZV IgG was determined as positive. Based on the clinical, tzanck smear and serological findings, the patient was diagnosed with Herpes zoster and systemic aciclovir treatment was commenced with dose of 20 mg/kg/day. Beginning from the third day of the treatment, improvement was determined in the lesions of the patient. ©2007, Firat University, Medical Faculty

Anahtar Kelimeler

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İnfantil Dönemde Bir Herpes Zoster Olgusu

Öz

18 aylık bebek hasta sırtında yara şikayeti ile polikliniğimize getirildi. Hastanın anamneziden altı ay önce suçiçeği geçirdiği öğrenildi. Yapılan dermatolojik muayenede sırtta orta hattan başlayıp sağ skapular bölgeyi de içeren, axiller bölge ve gövde ön yüzüne ilerleyen eritemli zemin üzerinde gruplar oluşturmuş veziküller ve yer yer hemorajik krutlar mevcuttu. Laboratuar incelemelerinde, hastanın vezikül sıvısından yapılan tzanck smear testinde multinukleer dev hücrelere rastlandı ve VZV IgG pozitif olarak saptandı. Klinik, tzanck smear ve serolojik bulgular doğrultusunda Herpes zoster tanısı konulan hastaya 20 mg/kg/gün dozunda sistemik asiklovir tedavisi başlandı. Tedavinin üçüncü gününden itibaren hastanın lezyonlarında iyilesme tespit edildi. ©2007, Fırat Üniversitesi, Tıp Fakültesi

Anahtar Kelimeler

Infant, herpes zoster

Kaynakça

• Henry M, Feeder J, Diane M. Herpes Zoster in Otherwise Healthy Children. Pediatr Infect Dis J 2004; 23: 451-457.
• Kurlan JG, Connelly BL, Lucky AW. Herpes zoster in the first year of life following postnatal exposure to varicella-zoster virus: four case reports and a review of infantile herpes zoster. Arch Dermatol 2004 ; 140: 1268-1272.
• Bale JF. Human herpesviruses and neurological disorders of childhood. Semin Pediatr Neurol 1999; 6: 278-287.
• Sterling JC, Kurtz JB. Viral infections. Champion RH, Burton JL. Burns DA Breathnach SM. eds. Textbook of Dermatology 6th ed. Blackwell science ltd. 1998: 995-1095.
• Gross G, Schofer H, Wassilew S, et al. Herpes zoster guideline of the German Dermatology Society. J Clin Virol 2003; 26: 277- 289.
• Stephen E, Straus MN, Oxman. Varicela and herpes zoster. In: Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, Fitzpatrick TB, eds. Fitzpatrick’s Dermatology in General Medicine, 5th ed. New York, Mc Graw Hill, 1999: 2427- 2450.
• Gupta MA, Gupta AK. Herpes zoster in medically healthy child and covert severe child abuse. Cutis 2000; 66: 221-223.
• Guess HA, Broughton DD, Melton LJ, Kurland LT. Epidemiology of herpes zoster in children and adolescents: a population-based study. Pediatrics 1985; 76: 512-517.
• Baba K, Yabuuchi H, Takahashi M, Ogra PL. Increased incidence of herpes zoster in normal children infected with varisella zoster virus during infancy: community-based follow-up study. J Pediatr 1986; 108: 372-377.
• Enders G, Miller E, Cradock-Watson J, Bolley I, RidehalghM. Consequences of varicella and herpes zoster in pregnancy: Prospective study of 1739 cases. Lancet 1994; 343: 1548–1551.
• Kabul Tarihi: 04.08.2006