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BMJ Case Reports 2017; doi:10.1136/bcr-2017-220068
  • Unusual association of diseases/symptoms
  • CASE REPORT

Acute urinary retention and constipation precipitated by herpes zoster infection

  1. Kilian Walsh
  1. Department of Urology, Galway University Hospitals, Galway, Ireland
  1. Correspondence to Mr Eoin MacCraith, eoinmaccraith{at}rcsi.ie
  • Accepted 1 May 2017
  • Published 12 May 2017

Summary

A 76-year-old man presented to the emergency department complaining of acute urinary retention (AUR) and severe constipation. His recent medical history included 4 days of treatment in the community for gluteal herpes zoster with famciclovir. A transurethral catheter was passed and the patient completed a full course of famciclovir with resolution of constipation. The patient’s catheter was successfully removed 3 weeks after his presentation. We report on the clinical presentation and management of an unusual case of AUR and constipation caused by a zoster viral infection of the S2–S4 dermatome.

Footnotes

  • Contributors EMC collected the data and drafted the report. NFD edited the report. KW carried out supervision.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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