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Updated: Sep 13, 2025

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A Modified Vessel-Sparing Microsurgical Vasoepididymostomy
Published on: June 8, 2022
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Penile, scrotal, and gluteal vesicles.
A Kogler1, K Großschädl1, B Sadoghi2
1Department of Dermatology and Venereology, Medical University of Graz, Auenbruggerplatz 8, 8036, Graz, Austria.
Wiener Medizinische Wochenschrift (1946)
|July 29, 2025
Summary
A rare case of sacral herpes zoster in a 61-year-old male presented with genital and gluteal lesions. This highlights the importance of considering atypical herpes zoster presentations in diagnosis and treatment.
Area of Science:
- Dermatology
- Virology
- Infectious Diseases
Background:
- Herpes zoster, caused by varicella zoster virus (VZV) reactivation, commonly affects thoracic dermatomes (T3-T5).
- Atypical presentations of herpes zoster can pose diagnostic challenges.
Purpose of the Study:
- To report a rare case of sacral herpes zoster with unusual genital and gluteal manifestations.
- To emphasize the importance of recognizing atypical herpes zoster presentations.
Main Methods:
- Case presentation of a 61-year-old male with dysuria and vesicular lesions.
- Differential diagnosis considered: herpes virus infection, bacterial balanoposthitis, syphilis, contact dermatitis.
- Polymerase chain reaction (PCR) testing confirmed VZV infection.
Main Results:
- The patient presented with grouped, crusted vesicles on the glans penis, scrotum, and gluteal region.
- VZV PCR test was positive, confirming herpes zoster.
- The affected dermatomes were sacral (S2, S3, S4), a rare localization.
Conclusions:
- Sacral herpes zoster is infrequently reported.
- This case underscores the need for clinicians to consider herpes zoster in patients with atypical presentations, including genital and gluteal lesions.
- Prompt diagnosis and appropriate management are crucial for atypical herpes zoster cases.
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