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Herpes zoster complicated by phrenic nerve palsy and respiratory compromise

BACKGROUND: Herpes zoster can be associated with severe neurological complications. CASE PRESENTATION: In this article, we describe the case of a 54-year-old man with herpes zoster affecting his right upper chest and neck region complicated by phrenic nerve palsy and respiratory compromise. The diag...

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Detalles Bibliográficos
Autores principales: Apiyo, Paska, Hajek, Jan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Makerere Medical School 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040297/
https://www.ncbi.nlm.nih.gov/pubmed/32127803
http://dx.doi.org/10.4314/ahs.v19i3.6
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author Apiyo, Paska
Hajek, Jan
author_facet Apiyo, Paska
Hajek, Jan
author_sort Apiyo, Paska
collection PubMed
description BACKGROUND: Herpes zoster can be associated with severe neurological complications. CASE PRESENTATION: In this article, we describe the case of a 54-year-old man with herpes zoster affecting his right upper chest and neck region complicated by phrenic nerve palsy and respiratory compromise. The diagnosis of herpes zoster was made based on the classic appearance of the rash and associated neuropathic-type pain. The diagnosis of phrenic nerve palsy was made by chest x-ray and ultrasound. CONCLUSION: Clinicians should be aware of the possibility of phrenic nerve palsy occurring in patients who have herpes zoster affecting the region of C3,4,5 dermatomes. Although symptoms of unilateral diaphragmatic paresis are usually mild, in patients with obesity or comorbid lung disease, new onset phrenic nerve palsy can lead to significant respiratory compromise.
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spelling pubmed-70402972020-03-03 Herpes zoster complicated by phrenic nerve palsy and respiratory compromise Apiyo, Paska Hajek, Jan Afr Health Sci Articles BACKGROUND: Herpes zoster can be associated with severe neurological complications. CASE PRESENTATION: In this article, we describe the case of a 54-year-old man with herpes zoster affecting his right upper chest and neck region complicated by phrenic nerve palsy and respiratory compromise. The diagnosis of herpes zoster was made based on the classic appearance of the rash and associated neuropathic-type pain. The diagnosis of phrenic nerve palsy was made by chest x-ray and ultrasound. CONCLUSION: Clinicians should be aware of the possibility of phrenic nerve palsy occurring in patients who have herpes zoster affecting the region of C3,4,5 dermatomes. Although symptoms of unilateral diaphragmatic paresis are usually mild, in patients with obesity or comorbid lung disease, new onset phrenic nerve palsy can lead to significant respiratory compromise. Makerere Medical School 2019-09 /pmc/articles/PMC7040297/ /pubmed/32127803 http://dx.doi.org/10.4314/ahs.v19i3.6 Text en © 2019 Apiyo et al. Licensee African Health Sciences. This is an Open Access article distributed under the terms of the Creative commons Attribution License (https://creativecommons.org/licenses/BY/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Articles
Apiyo, Paska
Hajek, Jan
Herpes zoster complicated by phrenic nerve palsy and respiratory compromise
title Herpes zoster complicated by phrenic nerve palsy and respiratory compromise
title_full Herpes zoster complicated by phrenic nerve palsy and respiratory compromise
title_fullStr Herpes zoster complicated by phrenic nerve palsy and respiratory compromise
title_full_unstemmed Herpes zoster complicated by phrenic nerve palsy and respiratory compromise
title_short Herpes zoster complicated by phrenic nerve palsy and respiratory compromise
title_sort herpes zoster complicated by phrenic nerve palsy and respiratory compromise
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040297/
https://www.ncbi.nlm.nih.gov/pubmed/32127803
http://dx.doi.org/10.4314/ahs.v19i3.6
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