Herpes-Zoster-Associated Voiding Dysfunction in an Immunocompromised Patient

During herpes zoster infection, immunocompromised hosts are especially vulnerable to complications, which include visceral organ involvement. Voiding dysfunction secondary to herpes zoster infection is an uncommon clinical presentation and has numerous enigmatic mechanisms. This case of herpes-zoste...

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Bibliographic Details
Published in:	Curēus (Palo Alto, CA) Vol. 12; no. 6
Main Authors:	Alalwan, Adel A, Ali, Alaa
Format:	Journal Article
Language:	English
Published:	Palo Alto Cureus Inc 06-06-2020 Cureus
Subjects:	Abdomen Antiviral drugs Biopsy Bladder Case reports Catheters Chicken pox Creatinine Erythema Hematuria Infections Infectious Disease Internal Medicine Intubation Pain Paresis Patients Purpura Retention Urine Urology Viral infections
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Summary:	During herpes zoster infection, immunocompromised hosts are especially vulnerable to complications, which include visceral organ involvement. Voiding dysfunction secondary to herpes zoster infection is an uncommon clinical presentation and has numerous enigmatic mechanisms. This case of herpes-zoster-associated voiding dysfunction occurred in a patient with nephrotic syndrome treated with immunosuppressives (prednisolone and mycophenolate mofetil). The patient presented with acute urinary retention and extensive lumbosacral herpetic infection. He responded positively to treatment and completely recovered following a 14-day course of intravenous acyclovir and intermittent self-catheterization (two to three times daily) for four weeks.
ISSN:	2168-8184 2168-8184
DOI:	10.7759/cureus.8469