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Post-total knee arthroplasty herpes zoster activation
  1. Mantu Jain1,
  2. Prabhas Ranjan Tripathy2 and
  3. Chitta Ranjan Mohanty3
  1. 1 Department of Orthopaedics, All India Institute of Medical Sciences Bhubaneswar, Orissa, India
  2. 2 Department of Anatomy, All India Institute of Medical Sciences Bhubaneswar, Orissa, India
  3. 3 Department of Trauma and Emergency (Anesthesia), All India Institute of Medical Sciences Bhubaneswar, Orissa, India
  1. Correspondence to Dr Mantu Jain, montu_jn{at}


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.

  • infections
  • general practice/family medicine
  • tropical medicine (infectious disease)

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  • Contributors MJ was the operating surgeon and CRM was the anesthetist. MJ and PRT saw the patient second time. MJ and PRT followed up the patient. MJ and CRM wrote up the manuscript where PRT supported with review of literature. MJ made the required revision in the manuscript. All authors have gone through the manuscript and gave consent for the content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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

  • Patient consent for publication Obtained.