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.
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Vejiga Urinaria
/
Factores de Riesgo
/
Retención Urinaria
/
Terapia de Inmunosupresión
/
Clínicas de Dolor
/
Cistitis
/
Exantema
/
Catéteres
/
Herpes Zóster
/
Hospitalización
Tipo de estudio:
Estudio de etiología
/
Factores de riesgo
Límite:
Anciano
/
Aged80
/
Humanos
Idioma:
Inglés
Revista:
Anesthesia and Pain Medicine
Año:
2018
Tipo del documento:
Artículo
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