Herpes zoster in hospitalized adults: Practice gaps, new evidence, and remaining questions

Ahronowitz, Iris; Fox, Lindy P.

doi:10.1016/j.jaad.2017.07.054

Cited by 9 publications

(12 citation statements)

References 34 publications

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“…However, some reports have appealed for stricter quarantine measures to be applied as they are for other diseases with airborne transmission. 8–10 …”

Section: Discussionmentioning

confidence: 99%

“…However, some reports have appealed for stricter quarantine measures to be applied as they are for other diseases with airborne transmission. [8][9][10] To decrease the number of patients affected with varicella, a national immunisation programme for unvaccinated children is essential. To identify unvaccinated people, an antibody screening test may be optional, for example, when these individuals enrol at a university or when they are employed.…”

Section: Case Reportmentioning

confidence: 99%

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Varicella caused by airborne transmission of a localised herpes zoster infection in a family

2021

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Localised herpes zoster infections spread by direct contact with active skin lesion, but airborne transmission is rare. We report a case of varicella from airborne transmission of a localised herpes zoster infection in a family. The patient was a 15-year-old boy who had never been vaccinated against the varicella-zoster virus (VZV). He likely developed varicella from his father, whom the patient lived with. The patient’s father developed a localised herpes zoster infection 2 weeks prior. The patient’s varicella was hypothesised to be due to VZV spread via airborne transmission from the father’s localised infection. To decrease the number of varicella cases, routine vaccination of children against VZV is essential, and immunisation against VZV in middle-aged and elderly patients is also necessary.

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“…However, some reports have appealed for stricter quarantine measures to be applied as they are for other diseases with airborne transmission. 8–10 …”

Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Varicella caused by airborne transmission of a localised herpes zoster infection in a family

2021

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“…When immunity decreased, the VZV reactivated and caused neuronal damage, sensory fibers demyelination, and the herpes in the related dermatomes. [ 5 ] PHN is the persistent neuropathic pain after the rash onset. The characteristics of PHN are dysesthesia, allodynia, paresthesia, and hyperalgesia.…”

Section: Discussionmentioning

confidence: 99%

Gasserian ganglion injected with Adriamycin successfully relieves intractable trigeminal nerve postherpetic neuralgia for an elderly patient

Zheng

Song²,

Liu³

2018

Medicine

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RationaleEffective treatments for trigeminal nerve postherpetic neuralgia (PHN) are limited. Adriamycin (doxorubicin) has been applied to the treatment of neuropathic pain. This study reports a new treatment: Adriamycin injected to Gasserian ganglion for an elderly patient with the intractable trigeminal nerve PHN.Patient concernsA 75-year-old man complained of lancing, burning pain in the right mandibular branch of the trigeminal nerve (V3) for 3 months after rash eruption.DiagnosesTrigeminal nerve PHN.InterventionsApproximately 0.5 mL of 0.25% Adriamycin and 20 mg methylprednisolone injected to Gasserian ganglion through the foramen ovale with computer tomography guidance.OutcomesThe visual analog scale was 10 of 100 throughout the 1-month follow-up, and oxcarbazepine had also been tapered. The patient remained free of pain at the 12-month follow-up.LessonsThe treatment of Adriamycin injection to Gasserian ganglion is effective and safe, and may be considered as an alternative treatment for trigeminal nerve PHN. However, more research is needed to verify the validity.

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“…El HZ requiere hospitalización en un 3% de los casos 9 . Esto es más frecuente en los pacientes con dermatitis atópica, psoriasis, pénfigo, micosis fungoide, dermatomiositis, esclerodermia y lupus.…”

Section: ¿Cuándo Se Debe Hospitalizar E Indicar Tratamiento Intravenoso?unclassified

“…Se ha observado que 0,4-15% de los pacientes que han tenido HZ pueden presentar un nuevo episodio a lo largo de la vida 9 . La recurrencia suele darse después de los 8 años del primer evento.…”

Section: ¿El Herpes Zóster Puede Recurrir?unclassified

Herpes zóster. Actualización y manejo

2021

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El herpes zóster es una enfermedad infecciosa producida por el virus de la varicela zóster, caracterizada por la aparición de vesículas que suelen presentarse en una disposición metamérica. Su incidencia se encuentra en aumento y es un motivo de consulta frecuente en la práctica cotidiana. En este artículo se ofrece información actualizada acerca de su diagnóstico, tratamiento y prevención, así como sobre otros aspectos controvertidos de su manejo.

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Herpes zoster in hospitalized adults: Practice gaps, new evidence, and remaining questions

Cited by 9 publications

References 34 publications

Varicella caused by airborne transmission of a localised herpes zoster infection in a family

Varicella caused by airborne transmission of a localised herpes zoster infection in a family

Gasserian ganglion injected with Adriamycin successfully relieves intractable trigeminal nerve postherpetic neuralgia for an elderly patient

Herpes zóster. Actualización y manejo

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