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Summary
Herpes zoster, a viral infection, can affect the stomach, causing symptoms like nausea and abdominal pain. This case highlights gastric mucosal lesions indicative of herpes zoster.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Dermatology
Background:
- Herpes zoster, commonly known as shingles, is caused by the reactivation of the varicella-zoster virus.
- While typically affecting the skin along a dermatome, visceral involvement can occur, though it is rare.
Observation:
- A 76-year-old male presented with anorexia, nausea, vomiting, and epigastric pain.
- The patient had herpes zoster involving the right 7th thoracic dermatome.
- Gastroscopy revealed lesions along the greater curvature of the stomach.
Findings:
- The observed gastric lesions were suggestive of mucosal herpes zoster.
- This presentation indicates a rare manifestation of visceral herpes zoster.
Implications:
- Highlights the importance of considering visceral herpes zoster in patients with gastrointestinal symptoms and a concurrent dermatomal rash.
- Gastroscopy can be a valuable diagnostic tool for identifying mucosal involvement of herpes zoster.
- Early diagnosis and treatment may prevent complications associated with gastric herpes zoster.