Acute postoperative herpes zoster with a sciatic nerve distribution after total joint arthroplasty of the ipsilateral hip and contralateral knee.
The differential diagnosis of a patient with acute onset of hip pain during the postoperative recovery period after total hip arthroplasty includes sciatic nerve injury, infection, incisional pain, hardware, or simply muscular issues related to overactivity. Moreover, because the rash of herpes zoster develops after 4 or 5 days of pain, it is difficult to diagnose herpes zoster during the early period. A number of reports have been issued on herpes zoster after surgery or trauma, but no report is available on herpes zoster development with a sciatic nerve distribution after ipsilateral total hip arthroplasty. The authors report the case of 75-year-old woman with herpes zoster with a sciatic nerve distribution after 2 primary total joint arthroplasties of a hip and knee.
Park
Kyung Soon
KS
Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Republic of Korea.
Yoon
Taek Rim
TR
Kim
Sung Kyu
SK
Park
Hyeoung Won
HW
Song
Eun Kyoo
EK
D015075:2-Aminopurine / Q000031:analogs & derivatives / Q000627:therapeutic use; D000368:Aged; D000998:Antiviral Agents / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D003937:Diagnosis, Differential; D000077595:Famciclovir; D005260:Female; D006562:Herpes Zoster / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery; D015207:Osteoarthritis, Hip / Q000601:surgery*; D011183:Postoperative Complications; D011859:Radiography; D012584:Sciatic Nerve / Q000503:physiopathology*; D016896:Treatment Outcome
D000998:Antiviral Agents; D015075:2-Aminopurine; D000077595:Famciclovir