Herpes Zoster Overlying Recently Placed Central Venous Access Site: A Case Report
Herpes zoster, commonly called shingles, is a disease that results from the reactivation of varicella zoster virus. Local trauma has been reported as a precipitant for reactivation, but this condition is rarely seen localized to a fresh surgical incision. We present the case of a patient who develop...
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Veröffentlicht in: | Canadian journal of emergency medicine 2017-01, Vol.19 (1), p.75-78 |
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description | Herpes zoster, commonly called shingles, is a disease that results from the reactivation of varicella zoster virus. Local trauma has been reported as a precipitant for reactivation, but this condition is rarely seen localized to a fresh surgical incision. We present the case of a patient who developed shingles overlying the incision site of a recently buried central venous access port, illustrating the need to consider this diagnosis as a unique imposter of localized infection or reaction at sites of recent procedural trauma. L’herpès zoster, communément appelé zona, est une maladie qui résulte de la réactivation du virus varicelle-zona. La documentation fait déjà mention de traumas locaux comme facteur précipitant de réactivation, mais le phénomène s’observe rarement au siège d’une incision chirurgicale récente. Sera décrit ici un cas de zona au point d’entrée d’un cathéter veineux central installé depuis peu, ce qui montre la nécessité d’envisager le diagnostic comme seul déclencheur d’infection localisée ou de réaction à des sièges d’intervention récente. |
doi_str_mv | 10.1017/cem.2016.340 |
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Local trauma has been reported as a precipitant for reactivation, but this condition is rarely seen localized to a fresh surgical incision. We present the case of a patient who developed shingles overlying the incision site of a recently buried central venous access port, illustrating the need to consider this diagnosis as a unique imposter of localized infection or reaction at sites of recent procedural trauma. L’herpès zoster, communément appelé zona, est une maladie qui résulte de la réactivation du virus varicelle-zona. La documentation fait déjà mention de traumas locaux comme facteur précipitant de réactivation, mais le phénomène s’observe rarement au siège d’une incision chirurgicale récente. Sera décrit ici un cas de zona au point d’entrée d’un cathéter veineux central installé depuis peu, ce qui montre la nécessité d’envisager le diagnostic comme seul déclencheur d’infection localisée ou de réaction à des sièges d’intervention récente.</description><identifier>ISSN: 1481-8035</identifier><identifier>EISSN: 1481-8043</identifier><identifier>DOI: 10.1017/cem.2016.340</identifier><identifier>PMID: 27461420</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject><![CDATA[Acyclovir - administration & dosage ; Acyclovir - analogs & derivatives ; Adult ; Antineoplastic Combined Chemotherapy Protocols - administration & dosage ; Biopsy ; Breast cancer ; Breast Neoplasms - drug therapy ; Breast Neoplasms - surgery ; Case Reports ; Catheter-Related Infections - diagnosis ; Catheter-Related Infections - drug therapy ; Central Venous Catheters - adverse effects ; Central Venous Catheters - microbiology ; Chemotherapy ; Dermatology ; Female ; Follow-Up Studies ; Herpes viruses ; Herpes Zoster - diagnosis ; Herpes Zoster - drug therapy ; Herpesvirus 3, Human - drug effects ; Herpesvirus 3, Human - isolation & purification ; Humans ; Infections ; Patients ; Radiation therapy ; Thoracic surgery ; Treatment Outcome ; Valine - administration & dosage ; Valine - analogs & derivatives ; Venous access]]></subject><ispartof>Canadian journal of emergency medicine, 2017-01, Vol.19 (1), p.75-78</ispartof><rights>Copyright © Canadian Association of Emergency Physicians 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-24b2c1e7c458a08fe6ced9d016535ebaa9efed58aa735611efae7bd999b1c7603</citedby><cites>FETCH-LOGICAL-c396t-24b2c1e7c458a08fe6ced9d016535ebaa9efed58aa735611efae7bd999b1c7603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27461420$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hess, Rebecca A.</creatorcontrib><creatorcontrib>Gunnerson, Kyle</creatorcontrib><creatorcontrib>Kahler, John</creatorcontrib><title>Herpes Zoster Overlying Recently Placed Central Venous Access Site: A Case Report</title><title>Canadian journal of emergency medicine</title><addtitle>CJEM</addtitle><description>Herpes zoster, commonly called shingles, is a disease that results from the reactivation of varicella zoster virus. Local trauma has been reported as a precipitant for reactivation, but this condition is rarely seen localized to a fresh surgical incision. We present the case of a patient who developed shingles overlying the incision site of a recently buried central venous access port, illustrating the need to consider this diagnosis as a unique imposter of localized infection or reaction at sites of recent procedural trauma. L’herpès zoster, communément appelé zona, est une maladie qui résulte de la réactivation du virus varicelle-zona. La documentation fait déjà mention de traumas locaux comme facteur précipitant de réactivation, mais le phénomène s’observe rarement au siège d’une incision chirurgicale récente. Sera décrit ici un cas de zona au point d’entrée d’un cathéter veineux central installé depuis peu, ce qui montre la nécessité d’envisager le diagnostic comme seul déclencheur d’infection localisée ou de réaction à des sièges d’intervention récente.</description><subject>Acyclovir - administration & dosage</subject><subject>Acyclovir - analogs & derivatives</subject><subject>Adult</subject><subject>Antineoplastic Combined Chemotherapy Protocols - administration & dosage</subject><subject>Biopsy</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - drug therapy</subject><subject>Breast Neoplasms - surgery</subject><subject>Case Reports</subject><subject>Catheter-Related Infections - diagnosis</subject><subject>Catheter-Related Infections - drug therapy</subject><subject>Central Venous Catheters - adverse effects</subject><subject>Central Venous Catheters - microbiology</subject><subject>Chemotherapy</subject><subject>Dermatology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Herpes viruses</subject><subject>Herpes Zoster - diagnosis</subject><subject>Herpes Zoster - drug therapy</subject><subject>Herpesvirus 3, Human - drug effects</subject><subject>Herpesvirus 3, Human - isolation & purification</subject><subject>Humans</subject><subject>Infections</subject><subject>Patients</subject><subject>Radiation therapy</subject><subject>Thoracic surgery</subject><subject>Treatment Outcome</subject><subject>Valine - administration & dosage</subject><subject>Valine - analogs & derivatives</subject><subject>Venous access</subject><issn>1481-8035</issn><issn>1481-8043</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkM9LwzAUx4Mobk5vniXgxYOt-dW09TaKOmHgbw9eSpq-jo7-MmmF_fdmbA4RT0l4n3zfex-ETinxKaHhlYbaZ4RKnwuyh8ZURNSLiOD7uzsPRujI2iUhlAU0OkQjFgpJBSNj9DQD04HFH63tweCHLzDVqmwW-Bk0NH21wo-V0pDjxL2MqvA7NO1g8VRrsBa_lD1c4ylOlAX3pWtNf4wOClVZONmeE_R2e_OazLz5w919Mp17msey95jImKYQahFEikQFSNclzt0iAQ8gUyqGAnJXUyEPJKVQKAizPI7jjOpQEj5BF5vczrSfA9g-rUuroapUA27ClEZMhpxwFjn0_A-6bAfTuOkcJZmIYhJzR11uKG1aaw0UaWfKWplVSkm6Vp061eladepUO_xsGzpkNeQ7-MetA_xtnqozU-YL-NX2v8Rv16uHmQ</recordid><startdate>201701</startdate><enddate>201701</enddate><creator>Hess, Rebecca A.</creator><creator>Gunnerson, Kyle</creator><creator>Kahler, John</creator><general>Cambridge University Press</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M3G</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201701</creationdate><title>Herpes Zoster Overlying Recently Placed Central Venous Access Site: A Case Report</title><author>Hess, Rebecca A. ; Gunnerson, Kyle ; Kahler, John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-24b2c1e7c458a08fe6ced9d016535ebaa9efed58aa735611efae7bd999b1c7603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acyclovir - administration & dosage</topic><topic>Acyclovir - analogs & derivatives</topic><topic>Adult</topic><topic>Antineoplastic Combined Chemotherapy Protocols - administration & dosage</topic><topic>Biopsy</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - drug therapy</topic><topic>Breast Neoplasms - surgery</topic><topic>Case Reports</topic><topic>Catheter-Related Infections - diagnosis</topic><topic>Catheter-Related Infections - drug therapy</topic><topic>Central Venous Catheters - adverse effects</topic><topic>Central Venous Catheters - microbiology</topic><topic>Chemotherapy</topic><topic>Dermatology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Herpes viruses</topic><topic>Herpes Zoster - diagnosis</topic><topic>Herpes Zoster - drug therapy</topic><topic>Herpesvirus 3, Human - drug effects</topic><topic>Herpesvirus 3, Human - isolation & purification</topic><topic>Humans</topic><topic>Infections</topic><topic>Patients</topic><topic>Radiation therapy</topic><topic>Thoracic surgery</topic><topic>Treatment Outcome</topic><topic>Valine - administration & dosage</topic><topic>Valine - analogs & derivatives</topic><topic>Venous access</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hess, Rebecca A.</creatorcontrib><creatorcontrib>Gunnerson, Kyle</creatorcontrib><creatorcontrib>Kahler, John</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>Canadian Business & Current Affairs Database (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>CBCA Reference & Current Events</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hess, Rebecca A.</au><au>Gunnerson, Kyle</au><au>Kahler, John</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Herpes Zoster Overlying Recently Placed Central Venous Access Site: A Case Report</atitle><jtitle>Canadian journal of emergency medicine</jtitle><addtitle>CJEM</addtitle><date>2017-01</date><risdate>2017</risdate><volume>19</volume><issue>1</issue><spage>75</spage><epage>78</epage><pages>75-78</pages><issn>1481-8035</issn><eissn>1481-8043</eissn><abstract>Herpes zoster, commonly called shingles, is a disease that results from the reactivation of varicella zoster virus. Local trauma has been reported as a precipitant for reactivation, but this condition is rarely seen localized to a fresh surgical incision. We present the case of a patient who developed shingles overlying the incision site of a recently buried central venous access port, illustrating the need to consider this diagnosis as a unique imposter of localized infection or reaction at sites of recent procedural trauma. L’herpès zoster, communément appelé zona, est une maladie qui résulte de la réactivation du virus varicelle-zona. La documentation fait déjà mention de traumas locaux comme facteur précipitant de réactivation, mais le phénomène s’observe rarement au siège d’une incision chirurgicale récente. Sera décrit ici un cas de zona au point d’entrée d’un cathéter veineux central installé depuis peu, ce qui montre la nécessité d’envisager le diagnostic comme seul déclencheur d’infection localisée ou de réaction à des sièges d’intervention récente.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><pmid>27461420</pmid><doi>10.1017/cem.2016.340</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Acyclovir - administration & dosage Acyclovir - analogs & derivatives Adult Antineoplastic Combined Chemotherapy Protocols - administration & dosage Biopsy Breast cancer Breast Neoplasms - drug therapy Breast Neoplasms - surgery Case Reports Catheter-Related Infections - diagnosis Catheter-Related Infections - drug therapy Central Venous Catheters - adverse effects Central Venous Catheters - microbiology Chemotherapy Dermatology Female Follow-Up Studies Herpes viruses Herpes Zoster - diagnosis Herpes Zoster - drug therapy Herpesvirus 3, Human - drug effects Herpesvirus 3, Human - isolation & purification Humans Infections Patients Radiation therapy Thoracic surgery Treatment Outcome Valine - administration & dosage Valine - analogs & derivatives Venous access |
title | Herpes Zoster Overlying Recently Placed Central Venous Access Site: A Case Report |
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