Simultaneous VZV and HSV-1 Reactivation after Minor Head Injury

European Journal of Case Reports in Internal Medicine

Anne-Valérie Burgener¹  Eliska Potlukova¹  Romina Häfelfinger¹  Michael Osthoff¹ 

[1] Division of Internal Medicine, University Hospital Basel, Switzerland and University of Basel, Switzerland;

关键词: herpes simplex virus;    varicella zoster virus;    head trauma;   

DOI  :  10.12890/2020_001746

来源: DOAJ

【 摘 要 】

An 81-year-old patient presented to the emergency department with a dark lesion on his forehead and swelling of his left eye, 3 days after a minor forehead injury and skin laceration. He also showed singular papules on his chin, upper chest, upper arms and back, later evolving into vesicles. Polymerase-chain reaction testing of vesicle content was positive for VZV and HSV-1, confirming a diagnosis of disseminated cutaneous herpes virus infection and concomitant HSV-1 reactivation. Antiviral and antibiotic treatment was initiated for 1 week with an immediate response. This case report highlights the association of head trauma and subsequent reactivation of VZV in patients at risk. Simultaneous reactivation of HSV-1 and VZV is rare in immunocompetent patients.

【 授权许可】

Unknown