Öz
Herpes zoster, dorsal kök ganglionunda latent olarak kalan Varicella zoster virüs’ün (VZV) reaktivasyonu sonucunda
gelişen, sıklıkla torasik, servikal, oftalmik ve lumbosakral bölgeleri tutan veziküler döküntü ile karakterize bir hastalıktır. Elli
yedi yaşında foliküler lenfoma tanısı ile takip edilen erkek hasta sağ uyluk dış yüzünde ağrı, kızarıklık, şişlik, kabarcıklar ve
ateş yakınmaları ile başvurdu. Fizik muayenesinde duyusal sinirin dermatom sahasına uygun olarak sağ uyluk dış yüzünde
gruplar oluşturmuş veziküler döküntüleri mevcuttu. Laboratuvar incelemelerinde VZV IgG pozitif olarak saptandı. Varisella
zoster virüs reaktivasyonu ile zona hastalığı meydana gelebilir. Bu olgumuzda, VZV enfeksiyonun nadir atipik prezentasyon
şeklinde de karşımıza çıkabileceğini anımsatmayı amaçladık.
Anahtar Kelimeler
Kaynakça
- Ultsch B, Köster I, Reinhold T, Siedler A, Krause G, Icks A, Schubert I,
- Wichmann O. Epidemiology and cost of herpes zoster and postherpetic
- neuralgia in Germany. Eur J Health Econ. 2013 Dec;14(6):1015-26.
- doi:10.1007/s10198-012-0452-1. Epub 2012 Dec 28. PubMed PMID:
- -
- Brunell PA., Varicella. Wyngaarden, Smith,Bennett (eds): Cecil Textbook
- of Medicine. 19th edition.WB. Saunders Comp Philadelphia 1992, s1840-
- -
- Drew WL. Varicella Zoster Virus. Murray, Drew, Kobayashi, Thomson (eds):
- Medical Microbiology. Wolfe Medical Publ. London 1990s512-517
- Schulze P., Sönichsen N. The management of herpes zoster infections.
- Virus&Life 1993; 7:13-16
- Whitley RJ. Varicella Zoster Virus Infections. Mandell, Bennett, Dolin (eds):
- Principles and Practiced of Infection Diseases. 5th ed. Churchill Livingstone
- Philadelphia 2000 s1580-1586
- Kondo K, Kanaya K, Baba S, Yamasoba T. Mumps, cervical
- zoster, and facial paralysis: coincidence or association? Case Rep
- Otolaryngol.2014;2014:289687.doi: 10.1155/2014/289687. Epub 2014
- Feb 6. PubMed PMID: 24653846; PubMed Central PMCID: PMC3933221
- Miyakoshi A, Takemoto M, Shiraki K, Hayashi A. Varicella-zoster virus
- keratitis with asymptomatic conjunctival viral shedding in the contralateral
- eye. Case Rep Ophthalmol. 2012 Sep;3(3):343-8. doi: 10.1159/000343463.
- Epub 2012 Oct 6. PubMed PMID: 23162462; PubMed Central PMCID:
- PMC3499208.
Öz
Herpes zoster is a disease which is characterised by vesicular eruptions involving thoracic, cervical, ophtalmic and lumbosacral plexus and caused by the reactivation of Varicella zoster virus (VZV) which is remaining latent in dorsal root ganglions. A 57-year-old man with the diagnosis of follicular lymphoma was admitted to our emergency clinic with the complaints of fever, pain, redness, edema and bubbles on right outer side of thigh. On physical examination, group-forming vesicular eruptions on the lateral side of right thigh were present. Varicella zoster immunoglobulin G was found to be positive. Varisella zoster virus infection may present as zona. In this case, we aimed to remind that VZV infection can be diagnosed rarely in atypical presentation.
Anahtar Kelimeler
follicular lymphoma varicella zoster virüs reactivation vesicular rash
Kaynakça
- Ultsch B, Köster I, Reinhold T, Siedler A, Krause G, Icks A, Schubert I,
- Wichmann O. Epidemiology and cost of herpes zoster and postherpetic
- neuralgia in Germany. Eur J Health Econ. 2013 Dec;14(6):1015-26.
- doi:10.1007/s10198-012-0452-1. Epub 2012 Dec 28. PubMed PMID:
- -
- Brunell PA., Varicella. Wyngaarden, Smith,Bennett (eds): Cecil Textbook
- of Medicine. 19th edition.WB. Saunders Comp Philadelphia 1992, s1840-
- -
- Drew WL. Varicella Zoster Virus. Murray, Drew, Kobayashi, Thomson (eds):
- Medical Microbiology. Wolfe Medical Publ. London 1990s512-517
- Schulze P., Sönichsen N. The management of herpes zoster infections.
- Virus&Life 1993; 7:13-16
- Whitley RJ. Varicella Zoster Virus Infections. Mandell, Bennett, Dolin (eds):
- Principles and Practiced of Infection Diseases. 5th ed. Churchill Livingstone
- Philadelphia 2000 s1580-1586
- Kondo K, Kanaya K, Baba S, Yamasoba T. Mumps, cervical
- zoster, and facial paralysis: coincidence or association? Case Rep
- Otolaryngol.2014;2014:289687.doi: 10.1155/2014/289687. Epub 2014
- Feb 6. PubMed PMID: 24653846; PubMed Central PMCID: PMC3933221
- Miyakoshi A, Takemoto M, Shiraki K, Hayashi A. Varicella-zoster virus
- keratitis with asymptomatic conjunctival viral shedding in the contralateral
- eye. Case Rep Ophthalmol. 2012 Sep;3(3):343-8. doi: 10.1159/000343463.
- Epub 2012 Oct 6. PubMed PMID: 23162462; PubMed Central PMCID:
- PMC3499208.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 18 Aralık 2015 |
| Gönderilme Tarihi | 18 Aralık 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 1 Sayı: 3 |