Visceral Varicella-Zoster Virus Infection Presenting with Severe Abdominal Pain without a Rash in a Patient with Psoriatic Arthritis Treated with Infliximab Biosimilar and Steroids: A Case Report
| Autor: | Nikolaos Spernovasilis, Sofia Pitsigavdaki, Emmanouil Tavlas, Kypros Louka, Ioanna Papakitsou, Maria Raissaki, Diamantis P. Kofteridis |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Abdominal pain
medicine.medical_specialty viruses medicine.medical_treatment Case Report Computed tomography Diseases of the musculoskeletal system Varicella-zoster virus infection visceral varicella zoster Psoriatic arthritis Rheumatology Medicine immunosuppression integumentary system medicine.diagnostic_test business.industry abdominal pain virus diseases computed tomography Biosimilar Immunosuppression medicine.disease Rash Dermatology Infliximab RC925-935 periarterial fat stranding medicine.symptom business medicine.drug |
| Zdroj: | Mediterranean Journal of Rheumatology, Vol 32, Iss 3, Pp 280-284 (2021) Mediterranean Journal of Rheumatology |
| ISSN: | 2529-198X |
| DOI: | 10.31138/mjr.32.3.280 |
| Popis: | Visceral herpes zoster following reactivation of dormant varicella-zoster virus can rarely occur, usually in highly immunosuppressed patients, and may present with abdominal pain without the relevant rash. In the absence of skin manifestations, diagnosis of visceral herpes zoster is extremely difficult, while computed tomography may reveal isolated periarterial fat stranding. We describe a rare case of visceral herpes zoster in a medically immunocompromised adult with psoriatic arthritis, who presented with acute abdomen, was diagnosed based on computed tomography findings and subsequent serum polymerase chain reaction results, and was appropriately treated with an uneventful recovery. This case underlines the significance of considering varicella-zoster virus infection as a cause of severe abdominal pain even in the absence of rash in this setting, and highlights the potential role of appropriately performed computed tomography in such unusual and complex cases, where early diagnosis and initiation of treatment is extremely important for a favorable outcome. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|