Herpes Zoster Ophthalmicus In An Immunocompetent Elderly Patient: Case Report
Yıl 2019,
Cilt: 3 Sayı: 2, 61 - 65, 31.08.2019
Sevil Alkan Çeviker
,
Özgür Günal
,
Süleyman Sırrı Kılıç
Eda Köksal
,
Cemanur Aygün
Öz
Herpes zoster infections are more common in immunosuppressive individuals and those over 45 years of age. 10-20% of all Herpes zoster cases are Herpes Zoster Ophthalmicus cases. Herpes Zoster Ophthalmicus is reported to be one of the major causes of blindness. Our patient with herpes zoster ophthalmicus is a patient with advanced age as a risk factor without known immunosuppression and this is very rare. In this case report, we aimed to emphasize that early diagnosis of Herpes Zoster Ophthalmicus disease and systemic antiviral treatment in addition to topical treatment can prevent permanent visual loss
Kaynakça
-
1. Topçu W. A., Söyletir G. ve Doğanay M.
Enfeksiyon Hastalıkları ve Mikrobiyolojisi. 4.baskı.
Nobel Tıp Kitabevleri. 2017: 1474-1478.
-
2. Liesegang TJ. Herpes zoster ophthalmicus natural
history, risk factors, clinical presentation, and
morbidity. Ophthalmology. 2008; 115: 3–12.
-
3. Marra F., Chong M. and Najafzadeh M. Increasing
incidence associated with herpes zoster infection in
British Columbia, Canada. BMC Infect Dis. 2016;
16: 589.
-
4. Schmader K. Herpes zoster. Clin Geriatr Med.
2016; 32: 539–353.
-
5. Marin M., et al. Risk factors for herpes zoster
among adults. Open Forum Infect Dis. 2016; 3:119.
-
6. Kwok TSH., Daneman N., and Lake SL.
Headache and vision changes in an elderly man with
rheumatoid arthritis. Int J Rheum Dis.
2019;22(7):1331-1334.
-
7. Arvin A. Aging, immunity and the varicella zoster
virus. NEJM. 2005; 352: 2266-7.
-
8. Thomas SL. and Hall AJ. What does
epidemiology tell us about risk factors for herpes
zoster? Lancet Infect Dis. 2004; 4: 26-33.
-
9. Vrcek I., Choudhury E. and Durairaj V. Herpes
Zoster Ophthalmicus: A Review for the Internist.
Am J Med. 2017;130(1):21–26.
-
10. Hutchinson J. A clinical report on herpes zoster
ophthalmicus (shingles affecting the forehead and
nose). Trans Am Ophthalmol Soc. 1942; 40:390-
439.
-
11. Sjaastad O. et al. Shortlasting unilateral
neuralgiform headache attacks with conjunctival
injection, tearing, sweating, and rhinorrhea.
Cephalalgia 1989; 9:147–156.
-
12. Akpinar ÇK. ve ark. Herpes Zoster
Ophthalmicus That Mimics the SUNCT Syndrome.
Noro Psikiyatr Ars. 2016; 53(2):184-185.
-
13. Sengupta, S. Cutaneous herpes zoster. Curr
Infect Dis Rep. 2013; 15: 432–439.
-
14. Woznowski M. et al. Fulminant staphylococcus
lugdunensis septicaemia following a pelvic
varicella-zoster virus infection in an immune-
deficient patient: a case report. Eur J Med Res. 2010;
15: 410–414.
-
15. Sanjay S. et all. Complete unilateral
ophthalmoplegia in herpes zoster ophthalmicus. J
Neuroophthalmol. 2009; 29(4): 325-337.
-
16. Werner RN, et al. 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. J Eur Acad Dermatol
Venereol. 2017;31(1):20-29.
-
17. Tran KD., et al. Epidemiology of herpes zoster
ophthalmicus: recurrence and chronicity.
Ophthalmology. 2016; 123: 1469–1475.
-
18. Hales, C.M., et al. Update on recommendations
for use of herpes zoster vaccine. MMWR Morb
Mortal Wkly Rep. 2014; 63: 729–731.
İmmunkompetan Yaşlı Hastada Gelişen Herpes Zoster Oftalmikus: Olgu Sunumu
Yıl 2019,
Cilt: 3 Sayı: 2, 61 - 65, 31.08.2019
Sevil Alkan Çeviker
,
Özgür Günal
,
Süleyman Sırrı Kılıç
Eda Köksal
,
Cemanur Aygün
Öz
Herpes zoster enfeksiyonları, immunsupresif bireyler ile 45 yaş üstündekilerde daha sık görülür. Tüm Herpes zoster vakalarının %10-20’sini Herpes Zoster Oftalmikus vakaları oluşturur. Herpes Zoster Oftalmikus’un körlüğün önemli nedenlerinden biri olduğu bildirilmektedir. Herpes Zoster Oftalmikus tanılı olgumuz, bilinen immunsupresyonu olmayan risk faktörü olarak sadece ileri yaşı olan hasta olup, bu durum oldukça nadir görülmektedir. Sunulan bu olgu ile; Herpes Zoster Oftalmikus hastalığının erken tanısı ve topikal tedaviye ilaveten sistemik antiviral tedavi ile kalıcı görme kaybını önlenebileceğini vurgulamayı amaçladık.
Kaynakça
-
1. Topçu W. A., Söyletir G. ve Doğanay M.
Enfeksiyon Hastalıkları ve Mikrobiyolojisi. 4.baskı.
Nobel Tıp Kitabevleri. 2017: 1474-1478.
-
2. Liesegang TJ. Herpes zoster ophthalmicus natural
history, risk factors, clinical presentation, and
morbidity. Ophthalmology. 2008; 115: 3–12.
-
3. Marra F., Chong M. and Najafzadeh M. Increasing
incidence associated with herpes zoster infection in
British Columbia, Canada. BMC Infect Dis. 2016;
16: 589.
-
4. Schmader K. Herpes zoster. Clin Geriatr Med.
2016; 32: 539–353.
-
5. Marin M., et al. Risk factors for herpes zoster
among adults. Open Forum Infect Dis. 2016; 3:119.
-
6. Kwok TSH., Daneman N., and Lake SL.
Headache and vision changes in an elderly man with
rheumatoid arthritis. Int J Rheum Dis.
2019;22(7):1331-1334.
-
7. Arvin A. Aging, immunity and the varicella zoster
virus. NEJM. 2005; 352: 2266-7.
-
8. Thomas SL. and Hall AJ. What does
epidemiology tell us about risk factors for herpes
zoster? Lancet Infect Dis. 2004; 4: 26-33.
-
9. Vrcek I., Choudhury E. and Durairaj V. Herpes
Zoster Ophthalmicus: A Review for the Internist.
Am J Med. 2017;130(1):21–26.
-
10. Hutchinson J. A clinical report on herpes zoster
ophthalmicus (shingles affecting the forehead and
nose). Trans Am Ophthalmol Soc. 1942; 40:390-
439.
-
11. Sjaastad O. et al. Shortlasting unilateral
neuralgiform headache attacks with conjunctival
injection, tearing, sweating, and rhinorrhea.
Cephalalgia 1989; 9:147–156.
-
12. Akpinar ÇK. ve ark. Herpes Zoster
Ophthalmicus That Mimics the SUNCT Syndrome.
Noro Psikiyatr Ars. 2016; 53(2):184-185.
-
13. Sengupta, S. Cutaneous herpes zoster. Curr
Infect Dis Rep. 2013; 15: 432–439.
-
14. Woznowski M. et al. Fulminant staphylococcus
lugdunensis septicaemia following a pelvic
varicella-zoster virus infection in an immune-
deficient patient: a case report. Eur J Med Res. 2010;
15: 410–414.
-
15. Sanjay S. et all. Complete unilateral
ophthalmoplegia in herpes zoster ophthalmicus. J
Neuroophthalmol. 2009; 29(4): 325-337.
-
16. Werner RN, et al. 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. J Eur Acad Dermatol
Venereol. 2017;31(1):20-29.
-
17. Tran KD., et al. Epidemiology of herpes zoster
ophthalmicus: recurrence and chronicity.
Ophthalmology. 2016; 123: 1469–1475.
-
18. Hales, C.M., et al. Update on recommendations
for use of herpes zoster vaccine. MMWR Morb
Mortal Wkly Rep. 2014; 63: 729–731.