Herpes zoster-induced acute urinary retention, limb paresis, and constipation in two immunocompetent patients

Lu, Xiao-Yun; Fang, Cheng; Xiao, Feng‐Li

doi:10.1007/s10286-021-00846-x

Cited by 2 publications

(2 citation statements)

References 22 publications

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“… 4 , 5 When VZV involves sacral or lumbar dermatomes (most commonly S2-S4, followed by L4-L5), acute urinary retention, and more rarely, gastrointestinal complications may occur. 6 VZV reactivation leads to inflammation and subsequent demyelination of the related nerve roots. Sacral involvement may result in interruption of the detrusor reflex, leading to voiding dysfunction.…”

Section: Discussionmentioning

confidence: 99%

Herpes zoster-induced urologic and gastrointestinal dysfunction with residual neurogenic detrusor underactivity

et al. 2022

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Section: Discussionmentioning

confidence: 99%

Herpes zoster-induced urologic and gastrointestinal dysfunction with residual neurogenic detrusor underactivity

et al. 2022

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“…Voiding dysfunction caused by herpes zoster was first described by Davidsah in 1890, and since then more than 200 cases have been reported in the literature, and more recently, 423 cases of HZ in a large institution were also reviewed, with herpes zoster infections in the sacral region accounting for 8% of all herpes zoster infections, and it was found that 4.02% of these voiding dysfunctions were associated with VZV infection. [ 7 ] Because of the low number of reported cases of ES, clinicians are not very cognizant of it and are unable to perform timely imaging or pathogenetic tests for a definitive diagnosis, so outpatient clinics often misdiagnose AUR patients with dyspareunia due to causes such as urethral obstruction because of ignoring their history of herpes zoster. Also because VZV visceral disseminated infection can also occur in immunocompetent people, [ 8 , 9 ] and even patients do not always show skin symptoms after infection, [ 10 ] the onset of which is more insidious.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture treatment of acute urinary retention caused by varicella-zoster virus through by combining the mechanism of sacral neuromodulation: A rare case report

Tan,

Shen

2023

Medicine

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Rationale: Urinary dysfunction triggered by varicella-zoster virus (VZV) attacking the nervous system seriously affects the quality of life of patients and may even cause irreversible damage to the urinary system. This a 62-year-old man with acute urinary retention triggered by VZV, who was cured after acupuncture treatment. The rational application of acupuncture therapy to promote the recovery of bladder contraction function can effectively relieve the symptoms of dysuria, shorten the course of the disease. Patient concerns: Symptoms included dysuria and distension of the bladder area secondary to postherpetic herpes zoster, with significant pressure and pain in his lower abdomen, accompanied by cutaneous herpes distributed over the sacral region. Diagnoses: The case was diagnosed as acute urinary retention (Neurogenic Bladder). Ancillary tests include urodynamic examination, Doppler ultrasound, urodynamic tests are the preferred diagnostic method and suggest: no contraction of the detrusor muscle is seen during voiding, and voiding occurs in an The absence of abdominal pressure-assisted micturition and repeated attempts to pass urine suggests detrusor weakness; residual urine suggests a severe bladder emptying disorder. Doppler ultrasound suggested overfilling of the bladder, and 1153 mL of residual urine was seen in the bladder after voiding. Interventions: The patient developed sacral herpes and dysuria and was treated with oral antiviral drugs on the 12th day of illness. But his urinary difficulty did not improve but gradually worsened, resulting in acute urinary retention, and he then turned to the acupuncture treatment, innovative approach combined the mechanism of action of sacral neuromodulation with traditional Chinese medicine theory. Outcomes: The duration of acupuncture treatment totaled 12 weeks; he was able to urinate on her own and her symptoms completely disappeared. No other adverse and unintended events occurred during treatment. Lessons: This study demonstrates that acupuncture is safe and effective in the treatment of acute urinary retention caused by VZV, which is worth recommending as a conservative treatment. Moreover, we found that the early intervention and full-term treatment with acupuncture is particularly important, provided that the right key acupoints are selected.

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Herpes zoster-induced acute urinary retention, limb paresis, and constipation in two immunocompetent patients

Cited by 2 publications

References 22 publications

Herpes zoster-induced urologic and gastrointestinal dysfunction with residual neurogenic detrusor underactivity

Herpes zoster-induced urologic and gastrointestinal dysfunction with residual neurogenic detrusor underactivity

Acupuncture treatment of acute urinary retention caused by varicella-zoster virus through by combining the mechanism of sacral neuromodulation: A rare case report

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