Sacral herpes zoster associated with voiding dysfunction in a young patient with scrub typhus

Title
Sacral herpes zoster associated with voiding dysfunction in a young patient with scrub typhus
Author(s)
허지안
Keywords
aciclovir; dexamethasone; doxycycline; prednisolone; adult; anal complaint; Article; blister; callus; case report; chill; constipation; drug substitution; drug withdrawal; dysuria; fatigue; fever; herpes zoster; human; male; micturition disorder; Orientia tsutsugamushi; rash; rectum hemorrhage; sacral herpes zoster; scrub typhus; urinary dysfunction; Varicella zoster virus; weakness
Issue Date
201506
Citation
Infection and Chemotherapy, v.47, no.2, pp.133 - 136
Abstract
When a patient presents with acute voiding dysfunction without a typical skin rash, it may be difficult to make a diagnosis of herpes zoster. Here, we present a case of scrub typhus in a 25-year-old man with the complication of urinary dysfunction. The patient complained of loss of urinary voiding sensation and constipation. After eight days, he had typical herpes zoster eruptions on the sacral dermatomes and hypalgesia of the S1-S5 dermatomes. No cases of dual infection with varicella zoster virus and Orientia tsutsugamushi were found in the literature. In the described case, scrub typhus probably induced sufficient stress to reactivate the varicella zoster virus. Early recognition of this problem is imperative for prompt and appropriate management, as misdiagnosis can lead to long-term urinary dysfunction. It is important that a diagnosis of herpes zoster be considered, especially in patients with sudden onset urinary retention. ? 2015 by The Korean Society of Infectious Diseases.
URI
http://hdl.handle.net/YU.REPOSITORY/31938http://dx.doi.org/10.3947/ic.2015.47.2.133
ISSN
2093-2340
Appears in Collections:
의과대학 > 내과학교실 > Articles
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