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B H Lau1, M I Lin, H C Lin

  • 1Department of Pediatrics, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan. laukawei@kimo.com.tw

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A young boy experienced varicella infection followed by herpes zoster in a single thoracic dermatome. This rare co-occurrence of varicella and herpes zoster in a pediatric patient is a unique case report.

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Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Dermatology

Background:

  • Varicella infection, commonly known as chickenpox, is caused by the varicella-zoster virus (VZV).
  • Herpes zoster, or shingles, is a reactivation of the VZV, typically occurring later in life.
  • Dermatomes are specific areas of skin supplied by a single spinal nerve.

Observation:

  • A 4-year-old boy presented with symptoms of varicella infection.
  • Two days after the onset of varicella, he developed vesicular lesions localized to the left 10th thoracic dermatome.
  • Serum analysis confirmed the presence of varicella-zoster virus IgM antibodies.

Findings:

  • The patient was diagnosed with a concurrent varicella infection and herpes zoster.
  • This presentation represents a simultaneous occurrence of primary VZV infection and viral reactivation within a specific dermatome.
  • The localization of herpes zoster lesions to a single thoracic dermatome was noted.

Implications:

  • This case highlights the potential for unusual presentations of varicella-zoster virus infections in children.
  • It suggests that VZV reactivation (herpes zoster) can occur concurrently with primary infection (varicella) under certain circumstances.
  • This finding is significant for understanding the complex pathogenesis of VZV and may inform diagnostic and treatment approaches in pediatric infectious diseases.