Kaposi varicelliform eruption: an unusual presentation caused by varicella zoster virus in a healthy adult patient - a case report.

Eczema herpeticum Kaposi varicelliform eruptions NSAIDs Viral skin infection

Journal

BMC infectious diseases
ISSN: 1471-2334
Titre abrégé: BMC Infect Dis
Pays: England
ID NLM: 100968551

Informations de publication

Date de publication:
22 Feb 2024
Historique:
received: 03 10 2023
accepted: 08 02 2024
medline: 23 2 2024
pubmed: 23 2 2024
entrez: 22 2 2024
Statut: epublish

Résumé

Kaposi Varicelliform Eruptions (KVE), also known as eczema herpeticum, is a rare and potentially life-threatening dermatological condition primarily attributed to herpes simplex virus (HSV) infection, with less frequent involvement of Coxsackie A16, vaccinia, Varicella Zoster, and smallpox viruses. Typically associated with pre-existing skin diseases, especially atopic dermatitis, KVE predominantly affects children but can manifest in healthy adults. Characterized by painful clusters of vesicles and sores on the skin and mucous membranes, it often masquerades as other dermatological disorders. Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used for pain relief and inflammation, though their potential role as KVE triggers remains uncertain. Here, we present a case of an 18-year-old female with KVE attributed to Varicella Zoster virus (VZV) and successfully treated with oral acyclovir within a week, underscoring the significance of early recognition and intervention. KVE can manifest with systemic symptoms like fever, fatigue, and lymphadenopathy and may involve multiple organ systems, necessitating possible antibiotic use for complications. This case underscores the importance of prompt KVE identification and consideration of antiviral therapy to enhance patient outcomes. Further research is warranted to elucidate predisposing factors for this rare condition.

Sections du résumé

BACKGROUND BACKGROUND
Kaposi Varicelliform Eruptions (KVE), also known as eczema herpeticum, is a rare and potentially life-threatening dermatological condition primarily attributed to herpes simplex virus (HSV) infection, with less frequent involvement of Coxsackie A16, vaccinia, Varicella Zoster, and smallpox viruses. Typically associated with pre-existing skin diseases, especially atopic dermatitis, KVE predominantly affects children but can manifest in healthy adults. Characterized by painful clusters of vesicles and sores on the skin and mucous membranes, it often masquerades as other dermatological disorders. Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used for pain relief and inflammation, though their potential role as KVE triggers remains uncertain.
CASE REPORT METHODS
Here, we present a case of an 18-year-old female with KVE attributed to Varicella Zoster virus (VZV) and successfully treated with oral acyclovir within a week, underscoring the significance of early recognition and intervention. KVE can manifest with systemic symptoms like fever, fatigue, and lymphadenopathy and may involve multiple organ systems, necessitating possible antibiotic use for complications.
CONCLUSION CONCLUSIONS
This case underscores the importance of prompt KVE identification and consideration of antiviral therapy to enhance patient outcomes. Further research is warranted to elucidate predisposing factors for this rare condition.

Identifiants

pubmed: 38388418
doi: 10.1186/s12879-024-09115-4
pii: 10.1186/s12879-024-09115-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

244

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

Hassan El-Masry (H)

Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Safia Essam (S)

Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Hamed Gaber (H)

Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Nour Shaheen (N)

Faculty of Medicine, Alexandria University, Alexandria, Egypt. nourshaheen40@gmail.com.

Ahmed Abdelbary (A)

Department of Dermatology and Andrology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Naglaa Mohamed Sayed (NM)

Department of Dermatology and Andrology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Salma Samir Omar (SS)

Department of Dermatology and Andrology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Classifications MeSH