Colonic pseudo-obstruction: a complication of herpes zoster

Jucglà, Anna; Badell, A.; Ballesta, Carlos García; Arbizu, Txomin

doi:10.1111/j.1365-2133.1996.tb06993.x

Cited by 11 publications

(5 citation statements)

References 12 publications

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“…Antiviral medication to treat the herpes zoster was prescribed in only 7 of the patients (24%); none of the studies found that the treatment helped to relieve the intestinal pseudo-obstruction. In 2 patients, antiviral medication was prescribed after recovery from the obstruction, and in another 2, including the present patient, the obstruction occurred while that treatment was being given (17,19,22). Our patient is among the 5 (17%) who underwent surgery (7,10,20,22).…”

Section: Discussionmentioning

confidence: 80%

“…The review included 22 male and 7 female patients (24%) aged 32-87 years (mean, 61 years), including the present patient. Significant co-morbidities were present in 45% of the patients and included eight malignancies (28%), immunosuppression for eczema or transplant, human immunodeficiency virus, and arterial hypertension (8,(12)(13)(14)16,18,19,(21)(22)(23)25). The time of skin eruption was variable when compared with the onset of the pseudoobstruction.…”

Section: Discussionmentioning

confidence: 97%

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Ogilvie Syndrome and Herpes Zoster: Case Report and Review of the Literature

Edelman

Antaki

Basson

et al. 2010

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 97%

Ogilvie Syndrome and Herpes Zoster: Case Report and Review of the Literature

Edelman

Antaki

Basson

et al. 2010

The Journal of Emergency Medicine

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“…Visceral neuropathy and pseudoobstruction of the small and large intestine have been reported as complications of HZ in 19.4% of patients presenting with abdominal pseudohernia [4]. Pseudoobstruction and abdominal distension often develop concurrent with [5] or after the skin rash [33], thus the diagnosis of HZ is achieved early. In the current case abdominal distension, constipation and signs of intestinal obstruction developed one day prior to the appearance of the skin rash.…”

Section: Discussion On Visceral Manifestationsmentioning

confidence: 99%

The Neuroanatomical Basis of Unfamiliar Presentations of Herpes Zoster: A Review and A Case Report

N¹,

N²

2023

Clin Med Rev Case Rep

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Herpes zoster (HZ, shingles) is caused by reactivated varicella zoster virus, that travels along the peripheral branches from its dormant location in neurons of spinal and cranial sensory ganglia. HZ is well known for its skin vesicular eruptions and severe sensory neuropathy. Over the years, reports have described the occurrence of segmental paresis of skeletal muscles and the involvement of the large and small intestine, clinically resembling intestinal obstruction.The spread of the virus to the motor and autonomic nervous systems is discussed here based on the neuroanatomical pathways and with reference to the unfamiliar manifestations observed in a recently hospitalised HZ case.A 66-year-old male of Egyptian descent, initially developed muscle aches in the right loin, altered touch sensation in the overlying skin and bouts of stabbing pain. These were followed on day two by the appearance of an abdominal wall swelling, 10 × 12 cm, in the right lumbar region. On day four, he complained of nausea, bloating, abdominal distension, and constipation. Examination revealed reduced intestinal sounds, and CT scans showed distended intestine with gas and fluid levels. On day five, vesicular skin rash characteristic of HZ appeared along dermatomes of the right spinal nerves T10 to L1.Surgeons and medical practitioners should be made aware of these unfamiliar presentations of HZ, especially as these may precede the archetypal skin rash, to evade unnecessary surgical intervention.

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“…[11][12][13][14][15] Bulges usually fall into one of three general categories: (1) intra-abdominal causes, (2) abdominal wall processes, or (3) neurological disorders.…”

Section: Abdominal Bulgesmentioning

confidence: 99%

Zoster Sine Herpete with Thoracic Motor Paralysis Temporally Associated with Thoracic Epidural Steroid Injection

Schuchmann

McAllister

Armstrong

et al. 2008

American Journal of Physical Medicine &Amp; Rehabilitation

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Reactivation of latent varicella-zoster virus can occur when the immune system is weakened leading to the typical presentation seen with herpes zoster or shingles. In a small percentage of these patients, motor paralysis can be seen in the affected myotomal distribution. Zoster sine herpete, or shingles without the typical vesicular rash, is an uncommon variant of zoster. Systemic steroids are known to weaken the immune response. Two previous case reports have implicated epidural steroid injections as a precipitating cause of zoster. We present a case of serologically verified zoster sine herpete producing an abdominal wall bulge, which occurred 1 wk after thoracic epidural steroid injection. Electromyography documented the presence of abdominal wall denervation. Given the low incidence of serologically proven zoster sine herpete--especially with thoracic motor paralysis--and the equally rarely documented incidence of zoster related to epidural steroids, we present what we believe to be the first reported case of zoster sine herpete with a neuropathic abdominal wall bulge occurring in close temporal association to receiving epidural steroids.

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Colonic pseudo-obstruction: a complication of herpes zoster

Cited by 11 publications

References 12 publications

Ogilvie Syndrome and Herpes Zoster: Case Report and Review of the Literature

Ogilvie Syndrome and Herpes Zoster: Case Report and Review of the Literature

The Neuroanatomical Basis of Unfamiliar Presentations of Herpes Zoster: A Review and A Case Report

Zoster Sine Herpete with Thoracic Motor Paralysis Temporally Associated with Thoracic Epidural Steroid Injection

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