Korean J Pediatr Infect Dis.  2002 Nov;9(2):230-235. 10.14776/kjpid.2002.9.2.230.

A Case of Herpes Zoster in a 9-month-old Infant

Affiliations
  • 1Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea. kjhan@olmh.cuk.ac.kr

Abstract

We experienced a case of herpes zoster in a 9-months aged infant as followings; The patient had no history of chickenpox or varicella vaccination. Also, her mother had no history of varicella infection and no contact history with varicella during pregnancy. The patient had only a history of exposure to chickenpox patient at 7th days after birth, but fortunately chickenpox was not developed. Sequentially, symptoms of cough with fever and tachypnea were developed on admission date(7 days had passed already after development of the initial skin lesion). On physical examination, multiple grouped painless erythematous papulovesicles with small crusts were observed on the right lower back, flank and abdomen along the T11 dermatome. Coarse breathing sound was osculated, and increased linear infiltrations on both parahilar areas were seen on chest radiography. Liver enzymes were slightly elevated. Tzanck test was negative. The initial titers of anti-VZV IgM and IgG on admission were negative, but the following titers of anti-VZV IgM and IgG were positive. The patient received treatment of acyclovir for 7 days, and healed completely without sequelae. We report this case with brief review of related literatures.

Keyword

Varicella zoster virus; Herpes zoster; Infancy

MeSH Terms

Abdomen
Acyclovir
Chickenpox
Cough
Fever
Herpes Zoster*
Herpesvirus 3, Human
Humans
Immunoglobulin G
Immunoglobulin M
Infant*
Liver
Mothers
Parturition
Physical Examination
Pregnancy
Radiography
Respiratory Sounds
Skin
Tachypnea
Thorax
Vaccination
Acyclovir
Immunoglobulin G
Immunoglobulin M
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