Clinical Manifestations of Herpes Zoster, Its Comorbidities, and Its Complications in North of Iran from 2007 to 2013
Background. Herpes zoster infection is a painful worldwide disease. Inappropriate and delayed treatment causes prolongation of the disease with debilitating symptoms and postherpetic neuralgia. Method. A cross-sectional study evaluated shingles cases admitted in a teaching hospital with one-year fol...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2015-01-01
|
| Series: | Neurology Research International |
| Online Access: | http://dx.doi.org/10.1155/2015/896098 |
| _version_ | 1798045697562378240 |
|---|---|
| author | Farhang Babamahmoodi Ahmad Alikhani Fatemeh Ahangarkani Leila Delavarian Hamidreza Barani Abdolreza Babamahmoodi |
| author_facet | Farhang Babamahmoodi Ahmad Alikhani Fatemeh Ahangarkani Leila Delavarian Hamidreza Barani Abdolreza Babamahmoodi |
| author_sort | Farhang Babamahmoodi |
| collection | DOAJ |
| description | Background. Herpes zoster infection is a painful worldwide disease. Inappropriate and delayed treatment causes prolongation of the disease with debilitating symptoms and postherpetic neuralgia. Method. A cross-sectional study evaluated shingles cases admitted in a teaching hospital with one-year followup in north of Iran from 2007 to 2013. Results. From 132 patients, 60.4% were male. Head and neck involvement occurred in 78 people (59.1%), thoracoabdominal region in 37 cases (28%), and extremities in 16 cases (12.1%), and one case (0.8%) got multisites involvement. 54 cases (40.9%) had predisposing factors including diabetes mellitus in 26 cases (19.7%), malignancy in 15 (11.4%), immunosuppressive medication in 7 (5.03%), HIV infection in 3 (2.3%), radiotherapy in 2 (1.5%), and tuberculosis in one patient (0.8%). The most common symptoms were pain (95.5%), weakness (56%), fever (31.1%), headache (30.3%), ocular complaints (27.3%), itching (24.2%), and dizziness (5.3%). 21 cases (15.9%) had bacterial superinfection on blistering areas and overall 18 cases (13.6%) had opium addiction. 4 cases (3.03%) died during admission because of comorbidities. Postherpetic neuralgia was reported in 56 patients (42.5%) after three months and seven cases (5%) in one-year followup. Conclusion. Shortening interval between skin lesion manifestation and starting medication can accelerate lesion improvement and decrease disease course, extension, and complication. |
| first_indexed | 2024-04-11T23:25:24Z |
| format | Article |
| id | doaj.art-27261c4c39444487b4871c9c83d9c46a |
| institution | Directory Open Access Journal |
| issn | 2090-1852 2090-1860 |
| language | English |
| last_indexed | 2024-04-11T23:25:24Z |
| publishDate | 2015-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Neurology Research International |
| spelling | doaj.art-27261c4c39444487b4871c9c83d9c46a2022-12-22T03:57:19ZengHindawi LimitedNeurology Research International2090-18522090-18602015-01-01201510.1155/2015/896098896098Clinical Manifestations of Herpes Zoster, Its Comorbidities, and Its Complications in North of Iran from 2007 to 2013Farhang Babamahmoodi0Ahmad Alikhani1Fatemeh Ahangarkani2Leila Delavarian3Hamidreza Barani4Abdolreza Babamahmoodi5Antimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, IranAntimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, IranAntimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, IranAntimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, IranAntimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, IranHealth Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranBackground. Herpes zoster infection is a painful worldwide disease. Inappropriate and delayed treatment causes prolongation of the disease with debilitating symptoms and postherpetic neuralgia. Method. A cross-sectional study evaluated shingles cases admitted in a teaching hospital with one-year followup in north of Iran from 2007 to 2013. Results. From 132 patients, 60.4% were male. Head and neck involvement occurred in 78 people (59.1%), thoracoabdominal region in 37 cases (28%), and extremities in 16 cases (12.1%), and one case (0.8%) got multisites involvement. 54 cases (40.9%) had predisposing factors including diabetes mellitus in 26 cases (19.7%), malignancy in 15 (11.4%), immunosuppressive medication in 7 (5.03%), HIV infection in 3 (2.3%), radiotherapy in 2 (1.5%), and tuberculosis in one patient (0.8%). The most common symptoms were pain (95.5%), weakness (56%), fever (31.1%), headache (30.3%), ocular complaints (27.3%), itching (24.2%), and dizziness (5.3%). 21 cases (15.9%) had bacterial superinfection on blistering areas and overall 18 cases (13.6%) had opium addiction. 4 cases (3.03%) died during admission because of comorbidities. Postherpetic neuralgia was reported in 56 patients (42.5%) after three months and seven cases (5%) in one-year followup. Conclusion. Shortening interval between skin lesion manifestation and starting medication can accelerate lesion improvement and decrease disease course, extension, and complication.http://dx.doi.org/10.1155/2015/896098 |
| spellingShingle | Farhang Babamahmoodi Ahmad Alikhani Fatemeh Ahangarkani Leila Delavarian Hamidreza Barani Abdolreza Babamahmoodi Clinical Manifestations of Herpes Zoster, Its Comorbidities, and Its Complications in North of Iran from 2007 to 2013 Neurology Research International |
| title | Clinical Manifestations of Herpes Zoster, Its Comorbidities, and Its Complications in North of Iran from 2007 to 2013 |
| title_full | Clinical Manifestations of Herpes Zoster, Its Comorbidities, and Its Complications in North of Iran from 2007 to 2013 |
| title_fullStr | Clinical Manifestations of Herpes Zoster, Its Comorbidities, and Its Complications in North of Iran from 2007 to 2013 |
| title_full_unstemmed | Clinical Manifestations of Herpes Zoster, Its Comorbidities, and Its Complications in North of Iran from 2007 to 2013 |
| title_short | Clinical Manifestations of Herpes Zoster, Its Comorbidities, and Its Complications in North of Iran from 2007 to 2013 |
| title_sort | clinical manifestations of herpes zoster its comorbidities and its complications in north of iran from 2007 to 2013 |
| url | http://dx.doi.org/10.1155/2015/896098 |
| work_keys_str_mv | AT farhangbabamahmoodi clinicalmanifestationsofherpeszosteritscomorbiditiesanditscomplicationsinnorthofiranfrom2007to2013 AT ahmadalikhani clinicalmanifestationsofherpeszosteritscomorbiditiesanditscomplicationsinnorthofiranfrom2007to2013 AT fatemehahangarkani clinicalmanifestationsofherpeszosteritscomorbiditiesanditscomplicationsinnorthofiranfrom2007to2013 AT leiladelavarian clinicalmanifestationsofherpeszosteritscomorbiditiesanditscomplicationsinnorthofiranfrom2007to2013 AT hamidrezabarani clinicalmanifestationsofherpeszosteritscomorbiditiesanditscomplicationsinnorthofiranfrom2007to2013 AT abdolrezababamahmoodi clinicalmanifestationsofherpeszosteritscomorbiditiesanditscomplicationsinnorthofiranfrom2007to2013 |