Disseminated herpes zoster involving bladder and severe inappropriate antidiuretic hormone in a immunocompetent elderly patient: A case report
Anesthesia and Pain Medicine
;
: 98-101, 2018.
Article
in English
| WPRIM
| ID: wpr-739423
ABSTRACT
Disseminated herpes zoster commonly occurs in patients with decreased immunity, but rarely in patients without any evidence of immunosuppression. We reported a case of disseminated herpes zoster with visceral organ involvement in a non-immunocompromised patient. An 83-year-old man visited our pain center, with chief complaints of painful rashes on the L3–L4 and S2–S4 due to acute herpes zoster. Even though intravenous antiviral therapy was initiated immediately upon hospitalization, his lesion deteriorated and systemic cluster formed. Urinary retention and hyponatremia occurred, and he was diagnosed with zoster cystitis and severe inappropriate antidiuretic hormone syndrome. Conservative treatment, including Foley catheter insertion and correction of hyponatremia with antiviral therapy, was initiated, and he was discharged without any complications at the 33rd day of hospitalization. Old age can be a risk factor of disseminated herpes zoster, and visceral organ involvement should also be considered.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Urinary Bladder
/
Risk Factors
/
Urinary Retention
/
Immunosuppression Therapy
/
Pain Clinics
/
Cystitis
/
Exanthema
/
Catheters
/
Herpes Zoster
/
Hospitalization
Type of study:
Etiology study
/
Risk factors
Limits:
Aged
/
Aged80
/
Humans
Language:
English
Journal:
Anesthesia and Pain Medicine
Year:
2018
Type:
Article
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