A case of diaphragmatic paralysis complicated by herpes-zoster virus infection.
Diaphragmatic paralysis is commonly caused by surgical and traumatic injuries, malignant neoplasm, and neurodegenerative disorders. However, in rare instances, diaphragmatic paralysis due to herpes-zoster virus infection has been reported. Here, we describe an 85-year-old woman who developed left hemidiaphragmatic paralysis within 19 days of the appearance of a typical herpes-zoster rash involving the C4-5 dermatome on the left side. Clinical and radiological findings revealed no local causes of phrenic nerve lesion. The hemidiaphragmatic paralysis was thought to be caused by herpes-zoster virus infection.
Department of General Medicine, Juntendo University School of Medicine, Japan. mooike@juntendo.ac.jp
Miki
M
Oike
Toshio
T
Naito
Mizuha
M
Tsukada
Yasumi
Y
Kikuchi
Naoharu
N
Sakamoto
Yukiko
Y
Otsuki
Hiroko
H
Ohshima
Hirohide
H
Yokokawa
Hiroshi
H
Isonuma
Takashi
T
Dambara
D015075:2-Aminopurine / Q000008:administration & dosage / Q000031:analogs & derivatives; D000368:Aged; D000369:Aged, 80 and over; D000998:Antiviral Agents / Q000008:administration & dosage; D000077595:Famciclovir; D005260:Female; D006562:Herpes Zoster / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D010791:Phrenic Nerve / Q000503:physiopathology; D012133:Respiratory Paralysis / Q000209:etiology* / Q000503:physiopathology; D013997:Time Factors
D000998:Antiviral Agents; D015075:2-Aminopurine; D000077595:Famciclovir