Post-total knee arthroplasty herpes zoster activation.

Authors:
Dr Mantu Jain, MS, DNB
Dr Mantu Jain, MS, DNB
AIIMS BHUBANESWAR
ASST PROF
ORTHOPEDICS
BHUBANESWAR, Orissa | India
Chitta Ranjan Mohanty
Chitta Ranjan Mohanty
All India Institute of Medical Sciences Bhubaneswar

BMJ Case Rep 2019 Apr 5;12(4). Epub 2019 Apr 5.

Department of Trauma and Emergency (Anesthesia), All India Institute of Medical Sciences Bhubaneswar, Orissa, India.

Herpes zoster is a clinical manifestation of reactivation of varicella-zoster virus (VZV) that lies dormant in the dorsal root ganglia after a past primary infection. It can be associated with severe pain, a crop of vesicles in typical dermatomal distribution but the neuralgic pain persists long, making the patient uncomfortable and often disturbing patient's sleep. There are cases reported after trauma or post surgeries that are mainly related to organ transplant or malignancy. In the literature, there is a solitary report of VZV infection along the sciatic nerve post ipsilateral hip and contralateral knee joint replacement. Here, we report a VZV infection in post knee replacement setting along the L2-3 dermatomal distribution.

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Source
http://dx.doi.org/10.1136/bcr-2018-228639DOI Listing
April 2019
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References

(Supplied by CrossRef)
The natural history of shingles. Events associated with reactivation of varicella-zoster virus
Juel-Jensen et al.
J R Coll Gen Pract 1970
Prevention of herpes zoster: recommendations of the Advisory Committee on Immunization Practices (ACIP)
Harpaz et al.
MMWR Recomm Rep 2008
Herpes zoster: a clinical study in 205 patients
Abdul Latheef et al.
Indian J Dermatol 2011
Varicella and Herpes Zoster
Weller et al.
N Engl J Med Overseas Ed 1983
Acute shingles after resection of thoracic schwannoma
Muesse et al.
Tex Heart Inst J 2012

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