title: Rectal ulcer in a patient with VZV sacral meningoradiculitis (Elsberg syndrome).
abstract: This report describes the case of a 55-year-old woman with varicella-zoster virus (VZV) sacral meningoradiculitis (Elsberg syndrome) who presented with herpes zoster in the left S2 dermatome area, urinary retention, and constipation. Lumbar magnetic resonance imaging showed the left sacral nerve root swelling with enhancement. Thereafter, she suddenly showed massive hematochezia and hemorrhagic shock because of a rectal ulcer. To elucidate the relation between Elsberg syndrome and rectal ulcer, accumulation of similar cases is necessary. To avoid severe complications, attention must be devoted to the possibility of rectal bleeding in the early stage of Elsberg syndrome.
authors.affiliation: Department of Neurology, Japanese Red Cross Medical Center, Japan. hideyukimatsumoto.jp@gmail.com
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Matsumoto
authors.forename: Takahiro
authors.initials: T
authors.lastname: Shimizu
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Tokushige
authors.forename: Hideo
authors.initials: H
authors.lastname: Mizuno
authors.forename: Yukifusa
authors.initials: Y
authors.lastname: Igeta
authors.forename: Hideji
authors.initials: H
authors.lastname: Hashida
mesh_terms: D000125:Achilles Tendon; D001803:Blood Transfusion; D003113:Colonoscopy; D003248:Constipation / Q000209:etiology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy; D006562:Herpes Zoster / Q000150:complications*; D006801:Humans; D008581:Meningitis / Q000150:complications*; D008875:Middle Aged; D011128:Polyradiculopathy / Q000209:etiology*; D012002:Rectal Diseases / Q000209:etiology*; D012021:Reflex, Abnormal; D012026:Reflex, Stretch; D012445:Sacrococcygeal Region; D012883:Skin Ulcer / Q000209:etiology*; D013126:Spinal Nerve Roots / Q000503:physiopathology* / Q000821:virology; D013525:Surgical Instruments; D016055:Urinary Retention / Q000209:etiology