American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2017, 5(11), 274-275
DOI: 10.12691/ajmcr-5-11-2
Open AccessCase Report

Multidermatomal Herpes Zoster in an Immunocompromised Patient-A Case Report

P C Bhattacharyya1, Abhinand Potpelwer2 and Lalit Mohan Bhardwaj3,

1Senior consultant and head of department of medicine, down town hospital, Guwahati, Assam

2DNB, General Medicine, down town hospital, Guwahati, Assam

3DNB PGT, General Medicine, down town hospital, Guwahati, Assam

Pub. Date: November 13, 2017

Cite this paper:
P C Bhattacharyya, Abhinand Potpelwer and Lalit Mohan Bhardwaj. Multidermatomal Herpes Zoster in an Immunocompromised Patient-A Case Report. American Journal of Medical Case Reports. 2017; 5(11):274-275. doi: 10.12691/ajmcr-5-11-2

Abstract

Multi-dermatomal involvement is uncommon in varicella zoster infection and indicates underlying immunosuppression. A 43 years old male, a known diabetic presented with painful papulovesicular lesions over the left side of the chest, back, arms and forearm with the history of chickenpox one month back. On evaluation for an unusual presentation, he was found to be reactive to HIV. Diagnosis of HZ was confirmed by HZV PCR. He was treated with antivirals, insulins, pain management and care of the lesions. The occurrence of the multi dermatomal herpes zoster with bilaterally symmetrical involvement immediately the following chickenpox is a rare observation and needs to be reported.

Keywords:
Multidermatomal Herpes Zoster HIV Varicella Zoster

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