Intractable postherpetic neuralgia after herpes zoster duplex bilateralis in an immunocompromised patient: A case report.
10.17085/apm.2017.12.1.77
- Author:
Se Hun LIM
1
;
Kun Moo LEE
;
Wonjin LEE
;
Deul Nyuck CHOI
;
Jeong Han LEE
;
Kwangrae CHO
;
Myoung Hun KIM
;
Seung Hee KI
;
Ji Hoon KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. anespc@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Herpes zoster duplex bilateralis;
Immunocompromised;
Postherpetic neuralgia
- MeSH:
Exanthema;
Herpes Zoster*;
Herpesvirus 3, Human;
Humans;
Immunocompromised Host*;
Middle Aged;
Neuralgia, Postherpetic*;
Peripheral Blood Stem Cell Transplantation;
Precursor Cell Lymphoblastic Leukemia-Lymphoma
- From:Anesthesia and Pain Medicine
2017;12(1):77-80
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Herpes zoster is caused by the reactivation of the varicella-zoster virus, and it typically presents as single dermatomal rash and vesicles. It can cause postherpetic neuralgia as a common complication. In immunocompromised patients, the lesions can be cutaneous, disseminated into two non-contiguous dermatomes, and this entity is referred to as herpes zoster duplex unilateralis or bilateralis. We present a case of postherpetic neuralgia after herpes zoster duplex bilateralis in a 60-year-old immunocompromised man. He had a past history of acute lymphocytic leukemia and was treated with allogeneic peripheral blood stem cell transplantation 1 year before herpes zoster reactivation. His postherpetic neuralgia pain was difficult to treat and it was refractory to conservative medication and neuraxial block.
