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Herpes zoster-associated acute urinary retention in immunocompetent patient.

Marques SA, Hortense J - An Bras Dermatol (2014 Nov-Dec)

Bottom Line: Herpes zoster-associated urinary retention is an uncommon event related to virus infection of the S2-S4 dermatome.We report a case of a 65-year-old immunocompetent female patient who presented an acute urinary retention after four days under treatment with valacyclovir for gluteal herpes zoster.The patient had to use a vesical catheter, was treated with antibiotics and corticosteroids and fully recovered after eight weeks.

View Article: PubMed Central - PubMed

Affiliation: Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil.

ABSTRACT
Herpes zoster-associated urinary retention is an uncommon event related to virus infection of the S2-S4 dermatome. The possible major reasons are ipsilateral hemicystitis, neuritis-induced or myelitis-associated virus infection. We report a case of a 65-year-old immunocompetent female patient who presented an acute urinary retention after four days under treatment with valacyclovir for gluteal herpes zoster. The patient had to use a vesical catheter, was treated with antibiotics and corticosteroids and fully recovered after eight weeks.

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Herpes Zoster of S2-S4 dermatome in its healing stage
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f01: Herpes Zoster of S2-S4 dermatome in its healing stage

Mentions: A 65-year-old immunocompetent female patient with a skin rash on the right buttock,already clinically diagnosed as herpes zoster and under treatment with valacyclovir forfour days, reported acute urinary retention and constipation. She was afebrile and herclinical examination was unremarkable, despite a bladder distention. A catheter draineda residual vesical volume of 1500 ml. Laboratorial investigation including urineexamination, blood tests and ultrasonography of abdomen were normal. Norfloxacine wasprescribed to prevent urinary tractinfection as well as gabapentine to reduce painintensity. Valacyclovir was maintained until healing of the skin lesions. Two weeksafter apparent cure of the zoster infection 0.7mg/kg/daily of corticosteroids wasadministered (Figure 1). One week later thecatheter was successfully removed. The corticosteroid was then tapered and eight weeksafter the onset of the S2-S4 dermatome - herpes zoster infection the patient was fullyrecovered.


Herpes zoster-associated acute urinary retention in immunocompetent patient.

Marques SA, Hortense J - An Bras Dermatol (2014 Nov-Dec)

Herpes Zoster of S2-S4 dermatome in its healing stage
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4230672&req=5

f01: Herpes Zoster of S2-S4 dermatome in its healing stage
Mentions: A 65-year-old immunocompetent female patient with a skin rash on the right buttock,already clinically diagnosed as herpes zoster and under treatment with valacyclovir forfour days, reported acute urinary retention and constipation. She was afebrile and herclinical examination was unremarkable, despite a bladder distention. A catheter draineda residual vesical volume of 1500 ml. Laboratorial investigation including urineexamination, blood tests and ultrasonography of abdomen were normal. Norfloxacine wasprescribed to prevent urinary tractinfection as well as gabapentine to reduce painintensity. Valacyclovir was maintained until healing of the skin lesions. Two weeksafter apparent cure of the zoster infection 0.7mg/kg/daily of corticosteroids wasadministered (Figure 1). One week later thecatheter was successfully removed. The corticosteroid was then tapered and eight weeksafter the onset of the S2-S4 dermatome - herpes zoster infection the patient was fullyrecovered.

Bottom Line: Herpes zoster-associated urinary retention is an uncommon event related to virus infection of the S2-S4 dermatome.We report a case of a 65-year-old immunocompetent female patient who presented an acute urinary retention after four days under treatment with valacyclovir for gluteal herpes zoster.The patient had to use a vesical catheter, was treated with antibiotics and corticosteroids and fully recovered after eight weeks.

View Article: PubMed Central - PubMed

Affiliation: Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil.

ABSTRACT
Herpes zoster-associated urinary retention is an uncommon event related to virus infection of the S2-S4 dermatome. The possible major reasons are ipsilateral hemicystitis, neuritis-induced or myelitis-associated virus infection. We report a case of a 65-year-old immunocompetent female patient who presented an acute urinary retention after four days under treatment with valacyclovir for gluteal herpes zoster. The patient had to use a vesical catheter, was treated with antibiotics and corticosteroids and fully recovered after eight weeks.

Show MeSH
Related in: MedlinePlus