Acute Transverse Myelitis after Varicella-Zoster Virus Infection in an Immunocompetent Patient: A Case Reportopen access
- Authors
- Yoo, Je Hyun; Kim, Hwi Jung; Park, Ki Deok; Lee, Ju Kang; Lim, Oh Kyung
- Issue Date
- Aug-2022
- Publisher
- 대한근전도전기진단의학회
- Keywords
- Varicella zoster virus; Transverse myelitis; Immunocompetence
- Citation
- 대한근전도 전기진단의학회지, v.24, no.2, pp.32 - 37
- Journal Title
- 대한근전도 전기진단의학회지
- Volume
- 24
- Number
- 2
- Start Page
- 32
- End Page
- 37
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/85356
- DOI
- 10.18214/jend.2021.00122
- ISSN
- 2733-6581
- Abstract
- Herpes zoster is caused by reactivated varicella-zoster virus (VZV) and characterized by a painful skin rash with vesicles that affects the adjacent dermatomes. Transverse myelitis is a rare complication of VZV infection that may even occur in immunocompetent patients. Here, we report a 60-year-old male patient admitted with right lower-extremity weakness and hypesthesia. Spine magnetic resonance imaging (MRI) revealed transverse myelitis at the C3–C4 and T6 levels. A month prior to admission, the patient was diagnosed with herpes zoster involving the right T2-T4 dermatome. Considering his history of VZV infection, he was treated with intravenous steroids and acyclovir. Eleven days after hospitalization, paraplegia developed to Medical Research Council grade 0/5 despite performing plasmapheresis. MRI confirmed the aggravation of the cord lesion between T4 and T7. Acute transverse myelitis after VZV infection is a rare disease that can cause serious sequelae in immunocompetent patients. Therefore, clinicians should be cautious of this situation.
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