Herpes zoster and polyarteritis nodosa: diagnostic challenges

Authors

  • Alexandre Sacchetti Bezerra Instituto de Infectologia Emilio Ribas, Cirurgia vascular - São Paulo - SP - Brasil
  • Gabriel Ricci Lorber Grupo Dasa, Patologia - São Paulo - SP - Brasil
  • Xu Xue Qing Faculdade de Medicina do ABC, Cirurgia Vascular - São Paulo - SP - Brasil
  • João Antonio Corrêa Faculdade de Medicina do ABC, Cirurgia Vascular - São Paulo - SP - Brasil
  • Rafi Felicio Bauab Dauar Instituto de Infectologia Emilio Ribas, Neurocirurgia - São Paulo - SP - Brasil

DOI:

https://doi.org/10.5935/2764-734X.e202112004

Keywords:

Polyarteritis nodosa, Systemic vasculitis, Algorithms, Varicella-zoster virus infection, Case Report

Abstract

A 74-year-old female patient came to the public university hospital due to pain in her lower limbs for 2 decades, associated with a trophic lesion on the lateral side of her right leg for 3 months and consumptive syndrome for 2 months. The patient treated herpes zoster virus for 4 years in another medical service. After anamnesis, physical examination and the use of a specific primary vasculitis algorithm, the patient was diagnosed with polyarteritis nodosa, allowing the initiation of appropriate therapy to improve the clinical condition. Morphologically, the histological study evidenced transmural necrotizing inflammation of medium and small caliber arteries. The reported clinical case reflects the need to conduct a more efficient etiological investigation in patients with primary vasculitis.

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Published

2022-06-10

How to Cite

Bezerra, A. S., Lorber, G. R., Qing, X. X., Corrêa, J. A., & Dauar, R. F. B. (2022). Herpes zoster and polyarteritis nodosa: diagnostic challenges. Infections in Evidence, 1, e202112004. https://doi.org/10.5935/2764-734X.e202112004

Issue

Vol. 1 (2022)

Section

Case Reports

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