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Related Experiment Videos

Respiratory muscle dysfunction after herpes zoster.

L Passerini, M G Cosio, S L Newman

    The American Review of Respiratory Disease
    |December 1, 1985
    PubMed
    Summary
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    Herpes zoster can cause rare neurologic issues like abdominal muscle myoclonus, leading to shortness of breath. This complication highlights the importance of assessing all respiratory muscles in patients with dyspnea.

    Area of Science:

    • Neurology
    • Infectious Diseases
    • Pulmonology

    Background:

    • Herpes zoster, a viral infection, commonly presents with a painful rash.
    • Neurologic complications of herpes zoster are infrequent but can be severe.
    • Dyspnea is a common symptom that requires thorough investigation of respiratory function.

    Observation:

    • A patient developed severe shortness of breath following thoracic herpes zoster.
    • Electromyography confirmed myoclonus (involuntary muscle twitching) of the abdominal muscles.
    • The abdominal myoclonus interrupted expiratory airflow, causing dyspnea and staccato speech.

    Findings:

    • Thoracic herpes zoster can lead to unusual neurologic complications affecting respiratory mechanics.
    • Abdominal muscle myoclonus is a potential cause of dyspnea post-herpes zoster.

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  • Repetitive expiratory airflow interruption due to myoclonus can mimic other respiratory conditions.

    • Implications:

    • Clinicians should consider neurologic complications in patients with dyspnea after herpes zoster.
    • Comprehensive evaluation of all respiratory muscles is crucial for diagnosing the cause of dyspnea.
    • This case broadens the understanding of herpes zoster's potential neurologic sequelae and their impact on respiratory function.