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Journals / Anestezi Dergisi / 2019 / Cilt: 27 - Sayı: 2

A Case of Herpes Zoster Following an Epidural Steroid Injection

Epidural Steroid Enjeksiyonu Sonrasında Gelişen Bir Herpes Zoster Olgusu

Bülent Barış GÜVEN
Fulya YURTSEVER
Temel GÜNER
Sedat TEMİRCAN
Ömer BAKAL
AYŞIN ERSOY
Pages
139–142
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this article, a case of herpes zoster in a patient with chronic renal failure who underwent epidural steroid treatment for low back pain caused by lumbar spinal stenosis is reported.

📌 3 Key Takeaways

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Objective & Hypothesis:Herpes Zoster occurs as a result of reactivation of Herpes zoster virus, which remains latent in the posterior root ganglia, especially in cases where the immune system is suppressed, such as malignancy, infection, use of steroidal drugs or chronic renal failure.
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Key Findings & Data:While there are many publications on the use of epidural steroids for the treatment of PHN in the literature, in a paradoxic way, PHN induced by steroid injection has been only reported in 2 cases.
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Conclusion & Impact:In this article, a case of herpes zoster in a patient with chronic renal failure who underwent epidural steroid treatment for low back pain caused by lumbar spinal stenosis is reported.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Herpes Zoster occurs as a result of reactivation of Herpes zoster virus, which remains latent in the posterior root ganglia, especially in cases where the immune system is suppressed, such as malignancy, infection, use of steroidal drugs or chronic renal failure. In some of these cases a very painful postherpetic neuralgia (PHN) develops. While there are many publications on the use of epidural steroids for the treatment of PHN in the literature, in a paradoxic way, PHN induced by steroid injection has been only reported in 2 cases. In this article, a case of herpes zoster in a patient with chronic renal failure who underwent epidural steroid treatment for low back pain caused by lumbar spinal stenosis is reported.

Özet

Herpes zoster arka kök ganglionlarında latent olarak kalan Herpes zoster virüsün, özellikle malignite, enfeksiyon, steroid kullanımı veya kronik böbrek yetmezliği gibi bağışıklık sisteminin baskılandığı durumlarda reaktivasyonu sonucu oluşur. Bunların bir kısmında çok ağrılı seyreden post herpetik nevralji (PHN) tablosu gelişir. Literatürde PHN’nin tedavisi için epidural steroid kullanımına dair pek çok yayın varken paradoksal bir şekilde steroid enjeksiyonuna bağlı gelişen PHN yalnızca 2 olguda bildirilmiştir. Bu makalede, lumbar spinal stenozun neden olduğu bel ağrısı nedeniyle epidural steroid uygulanan kronik böbrek yetmezlikli hastadaki Herpes zoster tablosu sunuldu.

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Cite This Article

GÜVEN, B. B., YURTSEVER, F., GÜNER, T., TEMİRCAN, S., BAKAL, Ö., ERSOY, A. (2019). A Case of Herpes Zoster Following an Epidural Steroid Injection. Anestezi Dergisi, Cilt: 27 - Sayı: 2, 139–142. https://ajindex.com/articles/143600

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References (11)

  1. Sarı S, Aydın ON, Güleser G, Kurt İ, Turan A. Effect of transforaminal anterior epidural steroid injection on neuropathic pain, quality of sleep and life. Ağrı. 2015;27:83-8. https://doi.org/10.5505/agri.2015.91489 Evans W. Intrasacral epidural injection in the treatment of sciatica. Lancet. 1930;2:1225-9. https://doi.org/10.1016/S0140-6736(00)86498-3
  2. Vorobeychik Y, Sharma A, Smith CC, et al. The Effectiveness and Risks of Non-Image-Guided Lumbar Interlaminar Epidural Steroid Injections: A Systematic Review with Comprehensive Analysis of the Published Data. Pain Medicine. 2016;17:2185-2202. https://doi.org/10.1093/pm/pnw091
  3. Parsons SJ, Hawboldt GS. A previously Unrecognized Complication of Epidural Steroids in the Treatment of Complex Regional Pain Syndrome. Journal of Pain and Symptom Management. 2003;25:198-9. https://doi.org/10.1016/S0885-3924(02)00707-8
  4. Szokol JW, Gilbert HC. A herpes zoster outbreak temporarily associated with an epidural steroid injection, Regional Anesthesia and Pain Medicine. 1998;23:328. https://doi.org/10.1016/S1098-7339(98)90069-4 Weinberg JM. Herpes zoster: epidemiology, natural history, and common complications. J Am Acad Dermatol. 2007; 57:130-5. https://doi.org/10.1016/j.jaad.2007.08.046
  5. Manchikanti L, Knezevic NN, Boswell MV, et al. Epidural injections for lumbar radiculopathy and spinal stenosis: a comparative systematic review and metaanalysis. Pain Physician. 2016;19:365-410. Tyring SK. Management of herpes zoster and postherpetic neuralgia. J Am Acad Dermatol. 2007;57:136-42. https://doi.org/10.1016/j.jaad.2007.09.016
  6. Akyol DT, Utaf S. Postherpetik Nevralji ve Tedavisi. TÜRKDERM. 2002;36:298-302.
  7. Chen N, Li Q, Yang J. Antiviral treatment for preventing postherpetic neuralgia. Cochrane Database Syst Rev. 2014;2:CD006866. https://doi.org/10.1002/14651858.CD006866.pub3
  8. Forbes HJ, Bhaskaran K, Thomas SL, et al. Quantification of risk factors for postherpetic neuralgia in herpes zoster patients. Neurology. 2016;87:94-102. https://doi.org/10.1212/WNL.0000000000002808
  9. Gauthier A, Breuer J, Carrington D, et al. Epidemiology and cost of herpes zoster and post-herpetic neuralgia in the United Kingdom. Epidemiol Infect. 2009;137:38- 47. https://doi.org/10.1017/S0950268808000678
  10. Harpaz R, Nagel MA, Schmader K, et al. Roundtable on postherpetic neuralgia: what, why, how long and what’s next? Popul Health Manag. 2012;15:385-90. https://doi.org/10.1089/pop.2012.1562
  11. Ifuku M, Iseki M, Hidaka I, et al. Replacement of gabapentin with pre