Vesicular rash in the immune-compromised is a common scenario for Varicella-Zoster reactivation. Visceral zoster involvement can result in severe pain that can be mistaken for an acute abdomen. Treatment with acyclovir or valacyclovir.
etherbunny(ignore that, its not shingles, multiple dermatomes are involved here).+
lindasmith462apparently primary/reactive varicella is associated with subclinical hepatitis (note she also has elevated ALT/AST), as well as myocarditis, rhabdo w/ renal failure, arthritis, and glomerularnephritis. Immunocompromised patients are more susceptible to visceral involvement. +2
charcot_bouchardIt is shingels... yes reactivation is usually dermatomal. But it can be severe and bilateral in severly immunocompromised patients.+1
submitted by โbwdc(697)
Vesicular rash in the immune-compromised is a common scenario for Varicella-Zoster reactivation. Visceral zoster involvement can result in severe pain that can be mistaken for an acute abdomen. Treatment with acyclovir or valacyclovir.