Zoster sine herpete is a particular form of varicella zoster virus (VZV) infection characterized by segmental pain and dysesthesia, without any cutaneous lesions ever becoming perceptible. This report describes the case of a female patient, presenting with intercostal pain associated with a single papulo-vesicular lesion localized within the same area. Thanks to such a lesion, real time-polymerase chain reaction (PCR) analysis on vesicle fluid swab was possible, thus revealing a significant number of VZV genome copies. This innovative tool has proven essential to diagnose this abortive form of herpes zoster, which would otherwise have remained unidentified.
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Cureus
November 2024
Community Medical Support Center, Wakayama Medical University, Wakayama, JPN.
Abdominal pseudohernia is a rare clinical condition characterized by an abnormal bulging of the abdominal wall. We present a 56-year-old male patient diagnosed with abdominal pseudohernia caused by zoster sine herpete (ZSH). The patient initially presented with a right abdominal wall bulging at the Th10 dermatome area.
View Article and Find Full Text PDFNihon Ronen Igakkai Zasshi
January 2024
Ocul Immunol Inflamm
December 2024
Department of Ophthalmology, National Defense Medical College, Tokorozawa, Japan.
Purpose: This study aimed to investigate the clinical characteristics, diagnostic markers, and treatment outcomes of varicella-zoster virus-associated anterior uveitis (VZV-AU) with and without ophthalmic herpes zoster (herpes zoster ophthalmicus (HZO) and zoster sine herpete (ZSH), respectively).
Methods: Clinical records of 47 VZV-AU patients (21 ZSH, 26 hZO) were retrospectively reviewed for clinical findings, medication use, and PCR using aqueous humor (AH) results.
Results: There was no significant difference in age, gender, visual acuity (VA), or intraocular pressure (IOP) between the two groups.
Cureus
October 2024
Infectious Diseases and Tropical Medicine, Moffitt Cancer Center, Tampa, USA.
In patients undergoing treatment for hematological cancers, like hairy cell leukemia (HCL), appropriate management of infections is of utmost importance. This paper describes the successful treatment of an HCL patient who had both visceral zoster sine herpete (ZSH) and hepatosplenic fungal infection, possibly caused by . To our knowledge, this is the first such case to appear in the literature, as these are rare conditions associated with states of immunosuppression, similar to those observed in hematological malignancy.
View Article and Find Full Text PDFIntern Med
September 2024
Department of Neurology, Brain and Nerve Center, Fukuoka Central Hospital, Japan.
We report the case of a 74-year-old woman with Parkinson's disease (PD) who developed acute dysphagia, dysarthria, and hoarseness. A neurological examination and nasopharyngeal fiberscopy revealed paralysis of the left glossopharyngeal, vagus, and hypoglossal nerves. No skin rash was observed.
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