Cervical myelitis due to herpes zoster: case report.

Bünyamin Tosunoğlu, Seyfi Emre Aksoy, Pınar Çınar Önge, Tahir Kurtuluş Yoldaş
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Abstract

Purpose: Varicella-zoster virus (VZV) belongs to the human neurotropic alpha-herpes virus group. VZV reactivation can lead to neurological complications, including transverse myelitis. However, transverse myelitis caused by VZV reactivation is rare in immunocompetent patients. A case of transverse myelitis caused by VZV in an immunocompromised patient is presented in this paper.

Case description: A 64-year-old female patient was admitted to our outpatient clinic with complaints of pain, numbness and loss of strength in her right arm, and decreased sensation of warmth, after suffering from zona zoster infection two weeks before. At that time the patient had shingles in the area covering the C4-T1 dermatomes on her right side and was treated with acyclovir.

Comment: Consequently, patients presenting with similar symptoms after shingles should undergo appropriate imaging and tests, and treatment should be given for shingles-related transverse myelitis.

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带状疱疹所致子宫颈脊髓炎1例。
目的:水痘带状疱疹病毒(VZV)属于人类嗜神经型甲型疱疹病毒群。VZV再激活可导致神经系统并发症,包括横贯脊髓炎。然而,由VZV再激活引起的横断性脊髓炎在免疫功能正常的患者中是罕见的。本文报告一例免疫功能低下患者由VZV引起的横断面脊髓炎。病例描述:一名64岁女性患者于两周前感染带状疱疹后,因右臂疼痛、麻木、无力、发热感下降而入院。当时患者右侧C4-T1皮囊区域出现带状疱疹,并给予阿昔洛韦治疗。评论:因此,带状疱疹后出现类似症状的患者应进行适当的影像学检查,并对带状疱疹相关的横脊髓炎进行治疗。
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