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Herpes zoster-associated voiding dysfunction in hematopoietic malignancy patients.

Shinichi Imafuku¹, Masakazu Takahara, Takeshi Uenotsuchi

¹Division of Dermatology and Hematology, Hiroshima Red Cross and Atomic Bomb Survivor's Hospital, and Department of Dermatology, Graduate School of Medical Sciences, Kyushu University. dermatologist@mac.com

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|January 5, 2008

Summary

Lumbo-sacral herpes zoster can cause urinary retention, particularly in immunocompromised patients. This condition may manifest late, even after skin symptoms resolve, requiring medical attention.

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Area of Science:

Neurology
Infectious Diseases
Urology

Background:

Herpes zoster infection, particularly in the lumbo-sacral region, can lead to voiding dysfunction.
This complication is rare but significant, especially in immunocompromised individuals.

Observation:

A retrospective analysis of 13 herpes zoster patients with voiding dysfunction was conducted.
Twelve patients had underlying conditions, including hematopoietic malignancies and hematopoietic stem cell transplant (HSCT) recipients.
Urinary retention onset and duration correlated with rash severity and underlying malignancy.

Findings:

Patients with severe herpes zoster rash or hematopoietic malignancy experienced delayed urinary retention onset.
Severe rash was also associated with longer durations of urinary retention.
Acute urinary retention was observed as late as 19 days post-rash onset in one case.

Implications:

Healthcare providers should monitor immunocompromised patients with lumbo-sacral herpes zoster for delayed urinary retention.
Early recognition and management are crucial, even after the resolution of cutaneous symptoms.
This highlights the importance of considering neurological complications of herpes zoster in urological dysfunction.