title: Herpes Zoster-Induced Ogilvie's Syndrome.
abstract: Ogilvie's syndrome due to herpes zoster infection is a rare manifestation of VZV reactivation. The onset of rash of herpes zoster and the symptoms of intestinal obstruction can occur at different time intervals posing a significant diagnostic challenge resulting in avoidable surgical interventions. Herein, we describe a case of 35-year-old male who presented with 6-day history of constipation and colicky abdominal pain along with an exquisitely tender and vesicular skin eruption involving the T8-T11 dermatome. Abdominal X-ray and ultrasound revealed generalized gaseous distention of the large intestine with air up to the rectum consistent with paralytic ileus. Colonoscopy did not show any obstructing lesion. A diagnosis of Ogilvie's syndrome associated with herpes zoster was made. He was conservatively managed with nasogastric decompression, IV fluids, and acyclovir. The patient had an uneventful recovery and was later discharged.
authors.affiliation: General Surgery, Dow University of Health Sciences, Karachi 74200, Pakistan ; Dow University of Health Sciences, Karachi 74200, Pakistan.
authors.forename: Irfan
authors.initials: I
authors.lastname: Masood
authors.affiliation: Dow University of Health Sciences, Karachi 74200, Pakistan ; Sindh Institute of Urology & Transplantation, Karachi 74200, Pakistan.
authors.forename: Zain
authors.initials: Z
authors.lastname: Majid
authors.affiliation: General Surgery, Dow University of Health Sciences, Karachi 74200, Pakistan ; Dow University of Health Sciences, Karachi 74200, Pakistan.
authors.forename: Waqas
authors.initials: W
authors.lastname: Rind
authors.affiliation: Dow University of Health Sciences, Karachi 74200, Pakistan.
authors.forename: Aisha
authors.initials: A
authors.lastname: Zia
authors.affiliation: Dow University of Health Sciences, Karachi 74200, Pakistan ; Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
authors.forename: Haris
authors.initials: H
authors.lastname: Riaz
authors.affiliation: Dow University of Health Sciences, Karachi 74200, Pakistan ; Thoracic & Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
authors.forename: Sajjad
authors.initials: S
authors.lastname: Raza