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Elsberg syndrome caused by herpes zoster in the sacral region with preceding urinary retention

BACKGROUND: Elsberg syndrome (ES) is an acute‐onset lumbosacral radiculitis with myelitis caused by a herpes virus infection. CASE PRESENTATION: We present a case of a 77‐year‐old woman who was admitted with urinary retention prior to genital rash. The patient was diagnosed with ES and treated with...

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Detalles Bibliográficos
Autores principales: Nishiyama, Daiki, Yoshimura, Satoshi, Shimizuhira, Chihiro, Ikeda, Nobuhiro, Miyamae, Nobuhiro, Sumida, Yasuyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9949514/
https://www.ncbi.nlm.nih.gov/pubmed/36844677
http://dx.doi.org/10.1002/ams2.824
Descripción
Sumario:BACKGROUND: Elsberg syndrome (ES) is an acute‐onset lumbosacral radiculitis with myelitis caused by a herpes virus infection. CASE PRESENTATION: We present a case of a 77‐year‐old woman who was admitted with urinary retention prior to genital rash. The patient was diagnosed with ES and treated with intravenous acyclovir 250 mg every 8 h for 1 week. CONCLUSION: Physicians should consider ES in patients with voiding dysfunction, as preceding neurological symptoms may lead to a misdiagnosis. Considering the adverse effects of the antiviral drug, its dosage should be according to the causative virus of the ES as well as the patient's age and medical history.