대상포진성 다발신경뿌리척수염 1예
A Case of Polyradiculomyelitis Associated With Herpes Zoster
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Shingles is a latent viral infection of the sensory ganglia. It can be accompanied by a variety of neurologic complications,including polyradiculitis and myelitis. A 66-year-old man with diabetes mellitus presented with progressive weakness, hypethesia and neuralgic pain in his right arm after herpes zoster infection in right C5 dermatome. He was diagnosed with zoster polyradiculomyelitis and treated with intravenous acyclovir and corticosteroid. It is a rare case of zoster neurologic complication in spite of oral acyclovir treatment.
Abstract
Shingles is a latent viral infection of the sensory ganglia. It can be accompanied by a variety of neurologic complications,including polyradiculitis and myelitis. A 66-year-old man with diabetes mellitus presented with progressive weakness, hypethesia and neuralgic pain in his right arm after herpes zoster infection in right C5 dermatome. He was diagnosed with zoster polyradiculomyelitis and treated with intravenous acyclovir and corticosteroid. It is a rare case of zoster neurologic complication in spite of oral acyclovir treatment.
참고문헌 (10)
- Weaver BA, "Herpes zoster overview: natural history and incidence", J Am Osteopath Assoc, 109, pp.2~6 (2009)
- Gnann JW Jr, "Varicella-zoster virus: atypical presentations and unusual complications", J Infect Dis, 186, pp.91~98 (2002)
- Chinen J, "Secondary immunodeficiencies, including HIV infection", J Allergy Clin Immunol, 121, pp.388~392 (2008)
- Johnson RW, "Herpes zoster and postherpetic neuralgia: optimizing management in the elderly patient", Drugs Aging, 25, pp.991~1006 (2008)
- 최재환, "척수 신경근의 Gadolinium 조영 증강을 보인 분절성 대상 포진 마비 2예", 대한신경과학회지, 24(3), pp.274~277 (2006), 대한신경과학회
- Braveman DL, "Herpes zoster polyradiculopathy", Arch Phys Med Rehabil, 78, pp.880~882 (1997)
- Mustafa MB, "Varicella zoster virus: review of its management", J Oral Pathol Med, 38, pp.673~688 (2009)
- Yýlmaz S, "Transverse myelitis caused by varicella zoster: case reports", Braz J Infect Dis, 11, pp.179~181 (2007)
- Hogan EL, "Herpes zoster myelitis. Evidence for viral invasion of spinal cord", Arch Neurol, 29, pp.309~313 (1973)
- Lionakis MS, "Glucocorticoids and invasive fungal infections", Lancet, 362, pp.1828~1838 (2003)