Healthcare 2014, 2(1), 20-26; doi:10.3390/healthcare2010020
Article

Atypical Presentation of Herpes Zoster Duplex Bilateralis in a Renal Transplanted Patient

1 Universitary Clinic of Dermatology, Santa Maria Hospital, Avenue Prof. Egas Moniz, Lisboa 1649-028, Portugal 2 Dermatology Research Unit, Medicine Faculty, Lisboa University, Avenue Prof. Egas Moniz, Lisboa 1649-028, Portugal 3 Microbiology and Tropical Clinic Units, Higiene e Medicina Tropical Institute, Lisboa New University, Lisboa 1349-008, Portugal 4 Nefrology Unit, Santa Maria Hospital, Avenue Prof. Egas Moniz, Lisboa 1649-028, Portugal
* Author to whom correspondence should be addressed.
Received: 21 October 2013; in revised form: 24 November 2013 / Accepted: 25 November 2013 / Published: 20 December 2013
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Abstract: Viral infections in renal transplant patients are an important cause of morbidity and mortality. In most cases, the clinical presentation of herpes zoster allows the diagnosis to be made only by history and physical examination. However, patients who are immunosuppressed may have uncommon presentations, and require a high index of suspicion and additional diagnostic testing for proper management. We report a rare presentation of herpes zoster duplex bilateralis involving symmetrical dermatomes over the lower limbs occurring in a woman with a recent history of renal transplantation. The skin lesions were also atypical representing a diagnostic challenge. This infection should be part of differential diagnosis of cutaneous manifestations in organ transplant recipients.
Keywords: herpes zoster; immunosuppression; infection skin disorders in organ transplant recipients

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MDPI and ACS Style

Gouveia, A.I.; Borges-Costa, J.; Soares-Almeida, L.; Santana, A.; Guerra, J. Atypical Presentation of Herpes Zoster Duplex Bilateralis in a Renal Transplanted Patient. Healthcare 2014, 2, 20-26.

AMA Style

Gouveia AI, Borges-Costa J, Soares-Almeida L, Santana A, Guerra J. Atypical Presentation of Herpes Zoster Duplex Bilateralis in a Renal Transplanted Patient. Healthcare. 2014; 2(1):20-26.

Chicago/Turabian Style

Gouveia, Ana I.; Borges-Costa, João; Soares-Almeida, Luís; Santana, Alice; Guerra, José. 2014. "Atypical Presentation of Herpes Zoster Duplex Bilateralis in a Renal Transplanted Patient." Healthcare 2, no. 1: 20-26.

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