RT Journal Article
SR Electronic
T1 Vulvar herpes zoster infection: a rare and challenging diagnosis
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e246797
DO 10.1136/bcr-2021-246797
VO 14
IS 12
A1 Matilde Matos Martins
A1 Patrícia Ferreira
A1 Raquel Maciel
A1 Cristina Costa
YR 2021
UL http://casereports.bmj.com/content/14/12/e246797.abstract
AB A 26-year-old woman under immunosuppression with infliximab due to Crohn’s disease was referred to the gynaecology emergency room with dispersed and coalescing vesicular lesions on the vulvar region extending to the right lower limb involving S2–S3 dermatome, associated with severe pain. Clinical history, physical examination and serological testing was consistent with herpes zoster infection. The patient was treated with valaciclovir for 14 days and cefradine for 7 days (due to the possibility of secondary bacterial infection). Significant symptomatic improvement was noted after 1 week. The 1-year follow-up was unremarkable. According to our knowledge and review of the literature, this is one of the few cases reported of vulvar herpes zoster, especially related to infliximab.