HERPES ZOSTER IN A 7-MONTH-OLD HEALTHY INFANT

Varisela-zoster virüsü iki ayrı klinik duruma sebep olur: varisella ve herpes zoster. Her iki durum da immünokompetan ve genç bireylerde benign olarak seyreden kliniğe sahiptir.Fakat immün yetmezliği olanlar ile yaşlılar şiddetli enfeksiyonlar ve komplikasyonlar açısından büyük risk taşır. Herpes zoster genellikle erişkinlerde görülmekle birlikte immünsupresif hastalığı olan hastalarda daha erken yaşlarda görülebilir. Bizim olgumuzda herpes zoster tanısı koyulan, immünsupresif hastalığı olmayan 7 aylık diğer yönlerden sağlıklı hasta sunulmaktadır. 

7 aylık sağlıklı bir bebekte herpes zoster

Varicella-zoster virus (VZV) causes two distinct clinical entities: varicella and herpes zoster (HZ). Both entities have a benign clinical course in immunocompetent and young individuals. But immunocompromised and elderly are at greater risk for severe infection and complications. Generally herpes zoster is seen in the adult age; additionally it is seen in an earlier age in the patients with immunosuppressive disease. In our case report we present a 7-months aged, healty patient without any immunosuppressive disease who was diagnosed as herpes zoster

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  • Sterling JC. Virus infections. In Burns T, Breathnach S, Cox N, Griffiths C. Rook’s Textbook of Dermatology (8th Ed) Wiley Blackwell, 2010; 33.22-33.28.
  • Straus SE, Oxman MN. Varicella and herpes zoster. In Freedberg IMi Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, Fitzpatrick TB. Fitzpatrick’s Dermatology in General Medicine (5th Ed) McGraw-Hill, 1999; 2427- 2450.
  • Kurlan JG, Connelly BL, Lucky AW. Herpes zoster in the first year of life following postnatal exposure to varicella- zoster virus: four case reports and a review of infantile herpes zoster. Arch Dermatol. 2004 Oct;140(10):1268- 72.
  • Feder HM Jr, Hoss DM. Herpes zoster in otherwise healthy children. Pediatr Infect Dis J. 2004 May;23(5):451-7; quiz 458-60.
  • Baba K, Yabuuchi H, Takahashi M, Ogra PL. Increased incidence of herpes zoster in normal children infected with varicella zoster virus during infancy: community based follow-up study. J Pediatr. 1986 Mar;108(3):372-7.
  • Chen TM, George S, Woodruff CA, Hsu S. Clinical manifestations of varicella-zoster virus infection. Dermatol Clin. 2002 Apr;20(2):267-82.
  • Sawant SP, Amin AS, Kumar S. Herpes zoster in a healthy immunocompetent two-year-old child. Pediatr Infect Dis J. 2012;4(1):13-14.
  • Kakourou T, Theodoridou M, Mostrou G, Syriopoulou V, Papadogeorgaki H, Constantopoulos A. Herpes zoster in children. J Am Acad Dermatol. 1998 Aug;39 (2 Pt 1):207- 10.
  • Takayama N, Yamada H, Kaku H, et al. Herpes zoster in immunocompetent and immunocompromised Japanese children. Pediatr Int 2000 Jun; 42(3) :275-9.
  • Tüzün Y, Serdaroğlu S. Herpes zoster. In Tüzün Y, Serdaroğlu S, Erdem C, Özpoyraz M, Önder M, Öztürkcan S. Dermatolojide Tedavi, Nobel Tıp Kitabevleri, 2010; 327-330.