Herpes zoster mimicking as acute appendicitis: a case report

作者:Fan, Zhe; Pan, Jiyong; Zhang, Yingyi; Tian, Xiaofeng*
来源:International Journal of Clinical and Experimental Medicine, 2016, 9(2): 5064-5067.

摘要

Herpes zoster (HZ) is a kind of localized disease induced by varicella zoster virus (VZV). Primary infection of VZV results in chickenpox and VZV remains latent in the sensory ganglia after an earlier period of chickenpox. Pain and itching are often the presentation of HZ. HZ usually concerns with geographic location, age and immunodeficiency. There have been no reports of herpes zoster presented as acute appendicitis in English literature. We report a 62-year-old female who came to our department complained of obvious right lower abdominal pain and then was diagnosed with acute appendicitis. The inflammation of appendix was not serious intra-operatively and the pain of right lower abdomen was not distinct catabatic post-operatively. A vesicular rash appeared on the right lateral abdomen after laparoscopic appendectomy 2 days, the final diagnosis was HZ. HZ was diagnosed by dermatology department through the presentation. Ganciclovir and vitamin B12 were applied to therapy the disease for 10 days. Pseudoappendicitis was induced by HZ. Coming across pain of right lower abdomen, HZ should be considered.