Diagnosis and management of ophthalmic zoster sine herpete accompanied by cervical spine disc protrusion: A case report

BACKGROUND: Zoster sine herpete (ZSH) can be misdiagnosed because there are no typical vesicular eruptions characterized by a dermatomal distribution. However, incorrect treatment due to a misdiagnosis can lead to severe pain and fatal complications. CASE SUMMARY: A 75-year-old woman complained of s...

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Autores principales: Yun, Giyoung, Kim, Eunsoo, Baik, Jiseok, Do, Wangseok, Jung, Young-Hoon, You, Chang-Min
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8464478/
https://www.ncbi.nlm.nih.gov/pubmed/34616830
http://dx.doi.org/10.12998/wjcc.v9.i25.7588
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author Yun, Giyoung
Kim, Eunsoo
Baik, Jiseok
Do, Wangseok
Jung, Young-Hoon
You, Chang-Min
author_facet Yun, Giyoung
Kim, Eunsoo
Baik, Jiseok
Do, Wangseok
Jung, Young-Hoon
You, Chang-Min
author_sort Yun, Giyoung
collection PubMed
description BACKGROUND: Zoster sine herpete (ZSH) can be misdiagnosed because there are no typical vesicular eruptions characterized by a dermatomal distribution. However, incorrect treatment due to a misdiagnosis can lead to severe pain and fatal complications. CASE SUMMARY: A 75-year-old woman complained of sudden onset right shoulder pain and atypical headache. After 18 d, sudden hearing loss occurred in the left ear. In serology tests conducted after the onset of hearing loss, varicella-zoster virus IgM was positive. She had no history of a rash or trauma. Under the suspicion of ZSH, antiviral treatment and stellate ganglion block were administered four times, and the pain was effectively controlled. CONCLUSION: Early diagnosis and treatment of ZSH can help not only by reducing pain but also by preventing fatal complications.
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spelling pubmed-84644782021-10-05 Diagnosis and management of ophthalmic zoster sine herpete accompanied by cervical spine disc protrusion: A case report Yun, Giyoung Kim, Eunsoo Baik, Jiseok Do, Wangseok Jung, Young-Hoon You, Chang-Min World J Clin Cases Case Report BACKGROUND: Zoster sine herpete (ZSH) can be misdiagnosed because there are no typical vesicular eruptions characterized by a dermatomal distribution. However, incorrect treatment due to a misdiagnosis can lead to severe pain and fatal complications. CASE SUMMARY: A 75-year-old woman complained of sudden onset right shoulder pain and atypical headache. After 18 d, sudden hearing loss occurred in the left ear. In serology tests conducted after the onset of hearing loss, varicella-zoster virus IgM was positive. She had no history of a rash or trauma. Under the suspicion of ZSH, antiviral treatment and stellate ganglion block were administered four times, and the pain was effectively controlled. CONCLUSION: Early diagnosis and treatment of ZSH can help not only by reducing pain but also by preventing fatal complications. Baishideng Publishing Group Inc 2021-09-06 2021-09-06 /pmc/articles/PMC8464478/ /pubmed/34616830 http://dx.doi.org/10.12998/wjcc.v9.i25.7588 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Case Report
Yun, Giyoung
Kim, Eunsoo
Baik, Jiseok
Do, Wangseok
Jung, Young-Hoon
You, Chang-Min
Diagnosis and management of ophthalmic zoster sine herpete accompanied by cervical spine disc protrusion: A case report
title Diagnosis and management of ophthalmic zoster sine herpete accompanied by cervical spine disc protrusion: A case report
title_full Diagnosis and management of ophthalmic zoster sine herpete accompanied by cervical spine disc protrusion: A case report
title_fullStr Diagnosis and management of ophthalmic zoster sine herpete accompanied by cervical spine disc protrusion: A case report
title_full_unstemmed Diagnosis and management of ophthalmic zoster sine herpete accompanied by cervical spine disc protrusion: A case report
title_short Diagnosis and management of ophthalmic zoster sine herpete accompanied by cervical spine disc protrusion: A case report
title_sort diagnosis and management of ophthalmic zoster sine herpete accompanied by cervical spine disc protrusion: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8464478/
https://www.ncbi.nlm.nih.gov/pubmed/34616830
http://dx.doi.org/10.12998/wjcc.v9.i25.7588
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