Iberoamerican Journal of Medicine
https://iberoamjmed.com/article/doi/10.5281/zenodo.4382235
Iberoamerican Journal of Medicine
Case Report

Case Report: When Shingles Disrupts Bladder Function

Aaron Campeas, Eric J. Basile

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Abstract

Varicella Zoster (shingles) virus is a double stranded DNA in the Herpesviridae family that can present as both chicken pox and as shingles. The virus enters through the respiratory system, replicating in the nasopharynx, and causes a viremia upon primary infection. Varicella Zoster spreads to other organs and often lies dormant in the dorsal root ganglion. Reactivation of the virus is more common in older or immunocompromised patients and often presents as a painful vesicular rash in a unilateral dermatomal distribution with possible concurrent radiculopathy. A rare complication of herpes zoster is urinary dysfunction. We report a case of a 42-year-old patient diagnosed with herpes zoster whose primary complaint was left buttock pain and a maculovesicular rash in the S2-S4 dermatomal distribution. She was prescribed Valacyclovir and began to experience urinary retention two days after starting the medication.

Keywords

Varicella zoster virus; Shingles; Urinary dysfunction

References

1. Shah RA, Limmer AL, Nwannunu CE, Patel RR, Mui UN, Tyring SK. Shingrix for Herpes Zoster: A Review. Skin Therapy Lett. 2019;24(4):5-7.
2. Al-Sardar H. A case of almost painless herpes zoster presenting with symptoms of cystitis, penile numbness, and acute vestibular failure. Case Rep Dermatol Med. 2013;2013:738579. doi: 10.1155/2013/738579.
3. Le P, Rothberg M. Herpes zoster infection. BMJ. 2019;364:k5095. doi: 10.1136/bmj.k5095.
4. Purbasari B, Kurniawan SN. Herpes Zoster Radiculopathy in a Systemic Lupus Erythematosus Patient – A Case Report. Eur Neurol Rev. 2018;13(2):116-9 doi: 10.17925/ENR.2018.13.2.116.
5. Hur J. Sacral Herpes Zoster Associated with Voiding Dysfunction in a Young Patient with Scrub Typhus. Infect Chemother. 2015;47(2):133-6. doi: 10.3947/ic.2015.47.2.133.
6. Marques SA, Hortense J. Herpes zoster-associated acute urinary retention in immunocompetent patient. An Bras Dermatol. 2014;89(6):985-7. doi: 10.1590/abd1806-4841.20143185.
7. Fujii M, Takahashi I, Honma M, Ishida-Yamamoto A. Close correlation of herpes zoster-induced voiding dysfunction with severity of zoster-related pain: A single faculty retrospective study. J Dermatol. 2015;42(11):1091-3. doi: 10.1111/1346-8138.12957.
8. Erol B, Avci A, Eken C, Ozgok Y. Urinary retention, erectile dysfunction and meningitis due to sacral herpes zoster: a case report and review of the literature. Urol Int. 2009;82(2):238-41. doi: 10.1159/000200807.
9. Katz G, Pfau A. Congenital varicella causing neurogenic bladder and anal dysfunction. Urology. 1986;28(5):424-5. doi: 10.1016/0090-4295(86)90078-6.
10. Vella M, Mastrocinque G, Romeo S, Giammanco G, Melloni D. Localizzazione [S1 Herpes zoster localization: acute urinary retention in woman]. Urologia. 2011;78(2):145-7. doi: 10.5301/RU.2011.8333.
11. Vigil HR, Hickling DR. Urinary tract infection in the neurogenic bladder. Transl Androl Urol. 2016;5(1):72-87. doi: 10.3978/j.issn.2223-4683.2016.01.06.
12. Jakubovicz D, Solway E, Orth P. Herpes zoster: unusual cause of acute urinary retention and constipation. Can Fam Physician. 2013;59(3):e146-7.
13. National Center for Disease Control. Shingles Burden and Trends. Available from: https://www.cdc.gov/shingles/surveillance.html. (accessed Nov 2020).


Submitted date:
12/11/2020

Reviewed date:
12/15/2020

Accepted date:
12/21/2020

Publication date:
12/21/2020

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