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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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:
Case Reports
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
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author Nishiyama, Daiki
Yoshimura, Satoshi
Shimizuhira, Chihiro
Ikeda, Nobuhiro
Miyamae, Nobuhiro
Sumida, Yasuyuki
author_facet Nishiyama, Daiki
Yoshimura, Satoshi
Shimizuhira, Chihiro
Ikeda, Nobuhiro
Miyamae, Nobuhiro
Sumida, Yasuyuki
author_sort Nishiyama, Daiki
collection PubMed
description 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.
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spelling pubmed-99495142023-02-24 Elsberg syndrome caused by herpes zoster in the sacral region with preceding urinary retention Nishiyama, Daiki Yoshimura, Satoshi Shimizuhira, Chihiro Ikeda, Nobuhiro Miyamae, Nobuhiro Sumida, Yasuyuki Acute Med Surg Case Reports 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. John Wiley and Sons Inc. 2023-02-23 /pmc/articles/PMC9949514/ /pubmed/36844677 http://dx.doi.org/10.1002/ams2.824 Text en © 2023 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Nishiyama, Daiki
Yoshimura, Satoshi
Shimizuhira, Chihiro
Ikeda, Nobuhiro
Miyamae, Nobuhiro
Sumida, Yasuyuki
Elsberg syndrome caused by herpes zoster in the sacral region with preceding urinary retention
title Elsberg syndrome caused by herpes zoster in the sacral region with preceding urinary retention
title_full Elsberg syndrome caused by herpes zoster in the sacral region with preceding urinary retention
title_fullStr Elsberg syndrome caused by herpes zoster in the sacral region with preceding urinary retention
title_full_unstemmed Elsberg syndrome caused by herpes zoster in the sacral region with preceding urinary retention
title_short Elsberg syndrome caused by herpes zoster in the sacral region with preceding urinary retention
title_sort elsberg syndrome caused by herpes zoster in the sacral region with preceding urinary retention
topic Case Reports
url 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
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