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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Makerere Medical School
2019
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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. |
format | Online Article Text |
id | pubmed-7040297 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Makerere Medical School |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT apiyopaska herpeszostercomplicatedbyphrenicnervepalsyandrespiratorycompromise AT hajekjan herpeszostercomplicatedbyphrenicnervepalsyandrespiratorycompromise |