Recurrent disseminated herpes zoster and cytomegalic perianal ulcer: a case report and review of the literature.
We describe a patient with lymphocytic leukemia who developed multiple, disseminated, vesiculopustular eruptions in combination with perianal ulcer. Four years earlier, she had a herpes zoster (HZ) infection involving the ophthalmic division of her left trigeminal nerve with subsequent postherpetic neuralgia that was treated with steroids. After the studies, we concluded that the patient had a recurrent disseminated HZ infection and perianal ulcer caused by cytomegalovirus (CMV).
Barbarulo
A M
AM
Cleveland Clinic, Fort Lauderdale, Florida, USA.
Metha
N
N
Bucalo
B
B
Rendon
M I
MI
D000368:Aged; D000369:Aged, 80 and over; D000998:Antiviral Agents / Q000627:therapeutic use; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000188:drug therapy / Q000821:virology; D005260:Female; D005401:Fissure in Ano / Q000150:complications* / Q000188:drug therapy / Q000821:virology; D015774:Ganciclovir / Q000627:therapeutic use; D006562:Herpes Zoster / Q000150:complications* / Q000188:drug therapy / Q000821:virology; D006801:Humans; D007945:Leukemia, Lymphoid / Q000150:complications; D012008:Recurrence; D012883:Skin Ulcer / Q000150:complications* / Q000188:drug therapy / Q000821:virology
D000998:Antiviral Agents; D015774:Ganciclovir