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Post-total knee arthroplasty herpes zoster activation
Mantu Jain1, Prabhas Ranjan Tripathy2, Chitta Ranjan Mohanty3
1Department of Orthopaedics, All India Institute of Medical Sciences Bhubaneswar, Orissa, India.
BMJ Case Reports
|April 8, 2019
Summary
Reactivation of varicella-zoster virus (VZV) can cause shingles, leading to persistent pain. This study reports a rare case of VZV infection following knee replacement surgery.
Area of Science:
- Neurology
- Infectious Diseases
- Orthopedic Surgery
Background:
- Herpes zoster, a reactivation of varicella-zoster virus (VZV), causes painful vesicles in a dermatomal distribution.
- Post-surgical VZV reactivation is uncommon, with limited reports, often associated with immunosuppression, malignancy, or trauma.
- A single prior case documented VZV infection along the sciatic nerve after hip and knee replacement.

