Case Report
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Herpes zoster infection in early adolescence: two case reports and review of the treatment approach

Year 2020, Volume: 5 Issue: 2, 58 - 61, 30.09.2020

Ramazan Cahit Temizkan , Nurcan Unal Muhammet Mesut Nezir Engin , Onder Kılıcaslan Kenan Kocabay

https://doi.org/10.22391/fppc.514033
Cited By: 1

Abstract

Introduction: Herpes zoster is a skin infection caused by reactivation of the Varicella zoster virus that remains latent in the dorsal root ganglia, showing dermatomal spread on the skin, accompanied by a vesicular rash and itching. It is a disease of the adult age group. Although herpes zoster is more common in immunocompromised children, it is rarely seen in healthy children.


Case Presentation: Two patients, 11 and 12 years old, presented with pain, itching, and rash. Patient histories indicated that they were previously healthy. Alanine aminotransferase, aspartate aminotransferase, urea, blood urea nitrogen, creatinine, and electrolyte values were within normal limits. Varicella-zoster virus (VZV) immunoglobulin (Ig) G and VZV Ig M were positive, while herpes zoster virus (HZV) Ig G and HZV Ig M were negative. Oral acyclovir treatment was started. Symptoms, treatment, and follow-up of the two cases were similar. In both patients, the lesions regressed within a week, and at the end of the second week, they recovered without complications.


Conclusion: Herpes Zoster infection is rarely seen in healthy children. In this case report, we aimed to remind and discuss the clinical features during childhood.

Keywords

Adolescent herpes zoster rash

References

  • 1. Adisen E, Aksakal AB. Herpes zoster in childhood. Gazi Med J 2007:18(1);36-8. http://medicaljournal.gazi.edu.tr/index.php/GMJ/article/view/200
  • 2. Iyidal AY, Kilic A. Herpes zoster in a healthy 1.5-year-old boy. Dermatoz 2017;8(1):17081o5. https://doi.org/10.15624.dermatoz17081o5
  • 3. Ozuguz P, Kacar SD, Polat S, Karaca S, Kundak A. Childhood zona zoster infection: 12 case reports. Abant Med J 2014; 3(3): 253-6. https://doi.org/10.5505/abantmedj.2014.07108
  • 4. Topkarci Z, Erdogan B, Erkum T, Yılmaz M. Herpes zoster infection in healthy children. Bakirkoy Med J 2012; 8(4):178-81. https://doi.org/10.5350/BTDMJB201208405
  • 5. Balamtekin B, Unay B, Kalman S, Akın R. Herpes zoster in two healthy children. Gulhane Med J 2004;46(2):169-71. http://gulhanemedj.org/archives/archive-detail/article-preview/herpes-zoster-with-two-healthy-children/32753
  • 6. Ciftdogan DY. The time of the primary varicella zoster virus infection in previously healthy children with herpes zoster: is it important? J Pediatr Inf 2017;11(2):71-75. https://doi.org/10.5578/ced.201723
  • 7. Demir M, Aksoy M. Lumbosacral region herpes zoster case in healthy child. Van Med J 2017;24(4):394-6. https://doi.org/10.5505/vtd.2017.97759
  • 8. Colgecen E, Kucuk S, Balci M. Clinical features of herpes zoster infections in childhood. Turk Derm 2012; 46(1): 26-8. https://doi.org/10.4274/turkderm.94899

Erken adölesan dönemde Herpes Zoster enfeksiyonu: iki olgu sunumu ve tedavi yaklaşımının gözden geçirilmesi

Year 2020, Volume: 5 Issue: 2, 58 - 61, 30.09.2020

Ramazan Cahit Temizkan , Nurcan Unal Muhammet Mesut Nezir Engin , Onder Kılıcaslan Kenan Kocabay

https://doi.org/10.22391/fppc.514033
Cited By: 1

Abstract

Giriş: Herpes zoster (HZ), dorsal kök gangliyonlarında latent kalarak Varisella zoster virüsün reaktivasyonu sonucunda oluşan, deride dermatomal yayılım gösteren, veziküler döküntü ile seyreden çoğunlukla ağrı ve kaşıntının eşlik ettiği cilt enfeksiyonudur. Erişkin yaş grubunun hastalığıdır. Hastalık genellikle immünsupresif çocuklarda daha sık görülmekle birlikte, sağlıklı çocuklarda nadir olarak görülmektedir.


Vaka Sunumu: Tarafımıza 11 ve 12 yaşında iki hasta ağrı, kaşıntı ve döküntü şikâyetiyle başvurdular Alınan anamnezde önceden sağlıklı oldukları öğrenilen hastaların bakılan alanin aminotrasferaz, aspartat amino transferaz, üre, BUN, kreatinin ve elektrolit değerleri normal sınırlardaydı. Varicella zoster virüs (VZV) immunglobulin (Ig) G ve VZV IgM pozitif, herpes zoster virüs (HZV) IgG ve HZV IgM negatif olarak sonuçlandı. Hastalara oral asiklovir tedavisi başlandı. Olgulardaki semptomlar, tedavi ve takip süreci benzerdi. Her iki olgunun da lezyonları bir hafta içerisinde gerilemiş olup, ikinci haftanın sonunda lezyonlar komplikasyonsuz olarak iyileşti.


Sonuç: Herpes Zoster enfeksiyonu sağlıklı çocuklarda nadir görülür ve bu olgu sunumuyla çocukluk çağının klinik özelliklerinin hatırlatılması ve tartışılması amaçlandı.

Keywords

Adölesan herpes zoster döküntü

References

  • 1. Adisen E, Aksakal AB. Herpes zoster in childhood. Gazi Med J 2007:18(1);36-8. http://medicaljournal.gazi.edu.tr/index.php/GMJ/article/view/200
  • 2. Iyidal AY, Kilic A. Herpes zoster in a healthy 1.5-year-old boy. Dermatoz 2017;8(1):17081o5. https://doi.org/10.15624.dermatoz17081o5
  • 3. Ozuguz P, Kacar SD, Polat S, Karaca S, Kundak A. Childhood zona zoster infection: 12 case reports. Abant Med J 2014; 3(3): 253-6. https://doi.org/10.5505/abantmedj.2014.07108
  • 4. Topkarci Z, Erdogan B, Erkum T, Yılmaz M. Herpes zoster infection in healthy children. Bakirkoy Med J 2012; 8(4):178-81. https://doi.org/10.5350/BTDMJB201208405
  • 5. Balamtekin B, Unay B, Kalman S, Akın R. Herpes zoster in two healthy children. Gulhane Med J 2004;46(2):169-71. http://gulhanemedj.org/archives/archive-detail/article-preview/herpes-zoster-with-two-healthy-children/32753
  • 6. Ciftdogan DY. The time of the primary varicella zoster virus infection in previously healthy children with herpes zoster: is it important? J Pediatr Inf 2017;11(2):71-75. https://doi.org/10.5578/ced.201723
  • 7. Demir M, Aksoy M. Lumbosacral region herpes zoster case in healthy child. Van Med J 2017;24(4):394-6. https://doi.org/10.5505/vtd.2017.97759
  • 8. Colgecen E, Kucuk S, Balci M. Clinical features of herpes zoster infections in childhood. Turk Derm 2012; 46(1): 26-8. https://doi.org/10.4274/turkderm.94899
There are 8 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Ramazan Cahit Temizkan 0000-0001-8821-6292

Nurcan Unal 0000-0002-8912-301X

Muhammet Mesut Nezir Engin 0000-0002-0874-6857

Onder Kılıcaslan 0000-0002-9311-006X

Kenan Kocabay 0000-0002-4030-1145

Publication Date September 30, 2020
Submission Date January 17, 2019
Acceptance Date October 31, 2019
Published in Issue Year 2020 Volume: 5 Issue: 2

Cite

APA Temizkan, R. C., Unal, N., Engin, M. M. N., Kılıcaslan, O., et al. (2020). Herpes zoster infection in early adolescence: two case reports and review of the treatment approach. Family Practice and Palliative Care, 5(2), 58-61. https://doi.org/10.22391/fppc.514033
AMA Temizkan RC, Unal N, Engin MMN, Kılıcaslan O, Kocabay K. Herpes zoster infection in early adolescence: two case reports and review of the treatment approach. Fam Pract Palliat Care. September 2020;5(2):58-61. doi:10.22391/fppc.514033
Chicago Temizkan, Ramazan Cahit, Nurcan Unal, Muhammet Mesut Nezir Engin, Onder Kılıcaslan, and Kenan Kocabay. “Herpes Zoster Infection in Early Adolescence: Two Case Reports and Review of the Treatment Approach”. Family Practice and Palliative Care 5, no. 2 (September 2020): 58-61. https://doi.org/10.22391/fppc.514033.
EndNote Temizkan RC, Unal N, Engin MMN, Kılıcaslan O, Kocabay K (September 1, 2020) Herpes zoster infection in early adolescence: two case reports and review of the treatment approach. Family Practice and Palliative Care 5 2 58–61.
IEEE R. C. Temizkan, N. Unal, M. M. N. Engin, O. Kılıcaslan, and K. Kocabay, “Herpes zoster infection in early adolescence: two case reports and review of the treatment approach”, Fam Pract Palliat Care, vol. 5, no. 2, pp. 58–61, 2020, doi: 10.22391/fppc.514033.
ISNAD Temizkan, Ramazan Cahit et al. “Herpes Zoster Infection in Early Adolescence: Two Case Reports and Review of the Treatment Approach”. Family Practice and Palliative Care 5/2 (September 2020), 58-61. https://doi.org/10.22391/fppc.514033.
JAMA Temizkan RC, Unal N, Engin MMN, Kılıcaslan O, Kocabay K. Herpes zoster infection in early adolescence: two case reports and review of the treatment approach. Fam Pract Palliat Care. 2020;5:58–61.
MLA Temizkan, Ramazan Cahit et al. “Herpes Zoster Infection in Early Adolescence: Two Case Reports and Review of the Treatment Approach”. Family Practice and Palliative Care, vol. 5, no. 2, 2020, pp. 58-61, doi:10.22391/fppc.514033.
Vancouver Temizkan RC, Unal N, Engin MMN, Kılıcaslan O, Kocabay K. Herpes zoster infection in early adolescence: two case reports and review of the treatment approach. Fam Pract Palliat Care. 2020;5(2):58-61.

Cited By

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Infectious Diseases and Therapy
https://doi.org/10.1007/s40121-023-00849-3

Family Practice and Palliative Care       ISSN 2458-8865       E-ISSN 2459-1505