Visceral Varicella-Zoster Virus Infection Presenting with Severe Abdominal Pain without a Rash in a Patient with Psoriatic Arthritis Treated with Infliximab Biosimilar and Steroids: A Case Report

Visceral herpes zoster following reactivation of dormant varicella-zoster virus can rarely occur, usually in highly immunosuppressed patients, and may present with abdominal pain without the relevant rash. In the absence of skin manifestations, diagnosis of visceral herpes zoster is extremely diffic...

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Autores principales:	Nikolaos Spernovasilis, Maria Raissaki, Ioanna Papakitsou, Sofia Pitsigavdaki, Kypros Louka, Emmanouil Tavlas, Diamantis P. Kofteridis
Formato:	article
Lenguaje:	EN
Publicado:	PCO Convin S.A. 2021
Materias:	visceral varicella zoster immunosuppression abdominal pain periarterial fat stranding computed tomography Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/3ebf642761dc444d875f52c07ea7bb57
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spelling	oai:doaj.org-article:3ebf642761dc444d875f52c07ea7bb572021-11-08T08:28:47ZVisceral Varicella-Zoster Virus Infection Presenting with Severe Abdominal Pain without a Rash in a Patient with Psoriatic Arthritis Treated with Infliximab Biosimilar and Steroids: A Case Report2529-198X10.31138/mjr.32.3.280https://doaj.org/article/3ebf642761dc444d875f52c07ea7bb572021-01-01T00:00:00Zhttp://www.mjrheum.org/assets/files/792/file320_1372.pdfhttps://doaj.org/toc/2529-198XVisceral herpes zoster following reactivation of dormant varicella-zoster virus can rarely occur, usually in highly immunosuppressed patients, and may present with abdominal pain without the relevant rash. In the absence of skin manifestations, diagnosis of visceral herpes zoster is extremely difficult, while computed tomography may reveal isolated periarterial fat stranding. We describe a rare case of visceral herpes zoster in a medically immunocompromised adult with psoriatic arthritis, who presented with acute abdomen, was diagnosed based on computed tomography findings and subsequent serum polymerase chain reaction results, and was appropriately treated with an uneventful recovery. This case underlines the significance of considering varicella-zoster virus infection as a cause of severe abdominal pain even in the absence of rash in this setting, and highlights the potential role of appropriately performed computed tomography in such unusual and complex cases, where early diagnosis and initiation of treatment is extremely important for a favorable outcome.Nikolaos SpernovasilisMaria RaissakiIoanna PapakitsouSofia PitsigavdakiKypros LoukaEmmanouil TavlasDiamantis P. KofteridisPCO Convin S.A.articlevisceral varicella zosterimmunosuppressionabdominal painperiarterial fat strandingcomputed tomographyDiseases of the musculoskeletal systemRC925-935ENMediterranean Journal of Rheumatology, Vol 32, Iss 3, Pp 280-284 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	visceral varicella zoster immunosuppression abdominal pain periarterial fat stranding computed tomography Diseases of the musculoskeletal system RC925-935
spellingShingle	visceral varicella zoster immunosuppression abdominal pain periarterial fat stranding computed tomography Diseases of the musculoskeletal system RC925-935 Nikolaos Spernovasilis Maria Raissaki Ioanna Papakitsou Sofia Pitsigavdaki Kypros Louka Emmanouil Tavlas Diamantis P. Kofteridis Visceral Varicella-Zoster Virus Infection Presenting with Severe Abdominal Pain without a Rash in a Patient with Psoriatic Arthritis Treated with Infliximab Biosimilar and Steroids: A Case Report
description	Visceral herpes zoster following reactivation of dormant varicella-zoster virus can rarely occur, usually in highly immunosuppressed patients, and may present with abdominal pain without the relevant rash. In the absence of skin manifestations, diagnosis of visceral herpes zoster is extremely difficult, while computed tomography may reveal isolated periarterial fat stranding. We describe a rare case of visceral herpes zoster in a medically immunocompromised adult with psoriatic arthritis, who presented with acute abdomen, was diagnosed based on computed tomography findings and subsequent serum polymerase chain reaction results, and was appropriately treated with an uneventful recovery. This case underlines the significance of considering varicella-zoster virus infection as a cause of severe abdominal pain even in the absence of rash in this setting, and highlights the potential role of appropriately performed computed tomography in such unusual and complex cases, where early diagnosis and initiation of treatment is extremely important for a favorable outcome.
format	article
author	Nikolaos Spernovasilis Maria Raissaki Ioanna Papakitsou Sofia Pitsigavdaki Kypros Louka Emmanouil Tavlas Diamantis P. Kofteridis
author_facet	Nikolaos Spernovasilis Maria Raissaki Ioanna Papakitsou Sofia Pitsigavdaki Kypros Louka Emmanouil Tavlas Diamantis P. Kofteridis
author_sort	Nikolaos Spernovasilis
title	Visceral Varicella-Zoster Virus Infection Presenting with Severe Abdominal Pain without a Rash in a Patient with Psoriatic Arthritis Treated with Infliximab Biosimilar and Steroids: A Case Report
title_short	Visceral Varicella-Zoster Virus Infection Presenting with Severe Abdominal Pain without a Rash in a Patient with Psoriatic Arthritis Treated with Infliximab Biosimilar and Steroids: A Case Report
title_full	Visceral Varicella-Zoster Virus Infection Presenting with Severe Abdominal Pain without a Rash in a Patient with Psoriatic Arthritis Treated with Infliximab Biosimilar and Steroids: A Case Report
title_fullStr	Visceral Varicella-Zoster Virus Infection Presenting with Severe Abdominal Pain without a Rash in a Patient with Psoriatic Arthritis Treated with Infliximab Biosimilar and Steroids: A Case Report
title_full_unstemmed	Visceral Varicella-Zoster Virus Infection Presenting with Severe Abdominal Pain without a Rash in a Patient with Psoriatic Arthritis Treated with Infliximab Biosimilar and Steroids: A Case Report
title_sort	visceral varicella-zoster virus infection presenting with severe abdominal pain without a rash in a patient with psoriatic arthritis treated with infliximab biosimilar and steroids: a case report
publisher	PCO Convin S.A.
publishDate	2021
url	https://doaj.org/article/3ebf642761dc444d875f52c07ea7bb57
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Visceral Varicella-Zoster Virus Infection Presenting with Severe Abdominal Pain without a Rash in a Patient with Psoriatic Arthritis Treated with Infliximab Biosimilar and Steroids: A Case Report

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