Herpes zoster with cutaneous dissemination: a rare presentation of an uncommon pathology in children

BMJ Case Rep. 2018 Jun 12:2018:bcr2018225355. doi: 10.1136/bcr-2018-225355.

Abstract

Herpes zoster, caused by varicella zoster virus (VZV) reactivation, affects mainly the adult population, although it can occur in children. This happens when primary infection (varicella) has occurred at a very young age or in immunocompromised patients. Complications are rare in healthy individuals. They include VZV cutaneous dissemination, which affects 2%-10% of immunocompromised patients.We present a previously healthy child, with history of varicella during her first month of life, which presented at age 8 with a severe case of herpes zoster, complicated with cutaneous dissemination. Immunity study was unremarkable. Causes, management and follow-up are discussed.

Keywords: immunology; infectious diseases; paediatrics.

Publication types

  • Case Reports

MeSH terms

  • Acyclovir / administration & dosage
  • Acyclovir / therapeutic use
  • Administration, Intravenous
  • Aftercare
  • Antiviral Agents / therapeutic use
  • Child
  • Exanthema / pathology
  • Exanthema / virology*
  • Female
  • Herpes Zoster / complications*
  • Herpes Zoster / diagnosis
  • Herpes Zoster / drug therapy
  • Herpes Zoster / pathology
  • Herpesvirus 3, Human / genetics
  • Herpesvirus 3, Human / immunology*
  • Humans
  • Immunocompromised Host
  • Skin Diseases / pathology
  • Skin Diseases / virology*
  • Treatment Outcome

Substances

  • Antiviral Agents
  • Acyclovir