Sacral Herpes Zoster Associated with Voiding Dysfunction in a Young Patient with Scrub Typhus
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
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.
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.
참고문헌 (14)
- Whitley RJ, "Mandell, Douglas, and Bennett's principles and practice of infectious diseases", pp.1963~1969 (2010), Elsevier
- Whitley RJ, "Harrison's principles of internal medicine", pp.1462~1466 (2012), McGraw-Hill
- Ragozzino MW, "Population-based study of herpes zoster and its sequelae", Medicine (Baltimore), 61, pp.310~316 (1982)
- Chen PH, "Herpes zoster-associated voiding dysfunction: a retrospective study and literature review", Arch Phys Med Rehabil, 83, pp.1624~1628 (2002)
- Lee DH, "Volding dysfuction associated with Herpes Zoster", Korean J Urol, 40, pp.226~228 (1999)
- 박범수, "대상포진에 의한 배뇨장애에서 치료 방법에 따른회복기간의 비교", International Neurourology Journal, 11(1), pp.36~40 (2007), 대한배뇨장애요실금학회
- Broseta E, "Urological manifestations of herpes zoster", Eur Urol, 24, pp.244~247 (1993)
- Richmond W, "The genito-urinary manifestations of herpes zoster. Three case reports and a review of the literature", Br J Urol, 46, pp.193~200 (1974)
- Imafuku S, "Herpes zoster-associated voiding dysfunction in hematopoietic malignancy patients", Int J Dermatol, 47, pp.36~39 (2008)
- Yamanishi T, "Urinary retention due to herpes virus infections", Neurourol Urodyn, 17, pp.613~619 (1998)
- Park KS, "Acute postoperative herpes zoster with a sciatic nerve distribution after total joint arthroplasty of the ipsilateral hip and contralateral knee", J Arthroplasty, 25, pp.11~15 (2010)
- Mahajan SK, "Scrub typhus and malaria co-infection causing severe sepsis", Trop Doct, 44, pp.43~45 (2014)
- Phommasone K, "Concurrent Infection with murine typhus and scrub typhus in southern Laos-the mixed and the unmixed", PLoSNegl Trop Dis, 7 (2013)
- 주혁, "Orientia tsutsugamushi Infection Induces CD4+ T Cell Activation via Human Dendritic Cell Activity", Journal of Microbiology and Biotechnology, 23(8), pp.1159~1166 (2013), 한국미생물·생명공학회[DOI]