Herpes Zoster Eruption in an Otherwise Healthy Child: A Case Report
| Autor: | Abdullah Ashi, Rawia Albar, Mohammed Alzahrani, Jumanah Ali, Abdullah Ali |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Facial trauma
reactivation medicine.medical_specialty viruses Infectious Disease herpes zoster Dermatology 030204 cardiovascular system & hematology Pediatrics Virus 03 medical and health sciences 0302 clinical medicine Biopsy medicine Risk factor shingles varicella-zoster virus (vzv) child integumentary system medicine.diagnostic_test business.industry General Engineering virus diseases Clindamycin medicine.disease Vaccination Neuralgia business 030217 neurology & neurosurgery medicine.drug Shingles |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.5194 |
| Popis: | Varicella-zoster virus (VZV; human herpesvirus 3) is a herpesvirus that causes infection in humans. The reactivation of latent VZV manifests as herpes zoster or shingles. In immunocompetent children, reactivation is rare, as increasing age is the most common risk factor for reactivation. The complications of infection include post-herpetic neuralgia and neurological sequelae as well as a bacterial infection of the crusted skin. We present a case of an otherwise healthy 13-year-old child with herpes zoster and multiple risk factors, who was managed successfully, in order to expand the limited literature. The patient presented with a painful vesicular rash, which appeared as multiple grouped vesicles on an erythematous base spreading over the right half of the face. The diagnosis of herpetic (varicella) vesiculobullous dermatitis was confirmed by biopsy and the patient was started on acyclovir and clindamycin with gradual improvement and resolution of his symptoms. Reactivation of VZV is considered a consequence of decreased cell-mediated immunity. However, the reason for reactivation in immunocompetent children remains unclear. In the present case, the patient may have become exposed in utero, through vaccination, or as a result of major facial trauma sustained at the age of six years. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|