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Elsberg syndrome related to varicella zoster virus infection with painless skin lesions in an elderly woman with poorly controlled type 2 diabetes mellitus

Hitoki Saito,1 Momoko Ebashi,2 Masaru Kushimoto,3 Jin Ikeda,3 Fujiko Egashira,1 Suguru Yamaguchi,1 Kentaro Watanabe1 Katsuhiko Ogawa,2,4 Yutaka Suzuki,3,4 Hisamitsu Ishihara,1 Midori Fujishiro1,4 1Division of Diabetes and Metabolic Diseases, Nihon University School of Medicine, Tokyo, Japan; 2Divis... Full description

Main Author: Saito H
Contributors: Ebashi M | Author
Kushimoto M | Author
Ikeda J | Author
Egashira F | Author
Yamaguchi S | Author
Watanabe K | Author
Ogawa K | Author
Suzuki Y | Author
Ishihara H | Author
Fujishiro M | Author
Contained in: Therapeutics and Clinical Risk Management (01.10.2018)
Journal Title: Therapeutics and Clinical Risk Management
Fulltext access: Fulltext access (direct link - free access)
Availability is being checked...
Interlibrary loan: Check possibility for interlibrary loan
Links: Additional Link (doaj.org)
Additional Link (www.dovepress.com)
Fulltext access (doaj.org)
ISSN: 1176-6336
Language: English
Physical Description: Online-Ressource
PPN (Catalogue-ID): DOAJ034450696
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Internes Format
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245 1 0 |a Elsberg syndrome related to varicella zoster virus infection with painless skin lesions in an elderly woman with poorly controlled type 2 diabetes mellitus  |h Elektronische Ressource 
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520 |a Hitoki Saito,1 Momoko Ebashi,2 Masaru Kushimoto,3 Jin Ikeda,3 Fujiko Egashira,1 Suguru Yamaguchi,1 Kentaro Watanabe1 Katsuhiko Ogawa,2,4 Yutaka Suzuki,3,4 Hisamitsu Ishihara,1 Midori Fujishiro1,4 1Division of Diabetes and Metabolic Diseases, Nihon University School of Medicine, Tokyo, Japan; 2Division of Neurology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan; 3Division of General Medicine, Department of Internal Medicine, Nihon University, Tokyo, Japan; 4Department of Internal Medicine, Nihon University Hospital, Tokyo, Japan Abstract: Patients with diabetes mellitus (DM) are at increased risk of infections, with the urinary tract being the most frequent infection site. Incomplete bladder emptying, frequent urination and abdominal distension are typical symptoms of urinary tract infections (UTIs). A 68-year-old female with a long history of poorly controlled type 2 DM (T2DM) visited our hospital complaining of urinary retention, which was initially diagnosed as cystitis by another doctor. The urologist at our hospital identified a skin rash extending from the left hip to her genital area. A dermatologist was consulted. She was clinically diagnosed with herpes zoster (HZ) involving the left sacral dermatome area. As Elsberg syndrome (ES) was suspected, a lumbar puncture was performed, revealing aseptic meningitis associated with varicella zoster virus (VZV) infection. Intravenous acyclovir with urinary catheterization in combination with methylprednisolone pulse therapy resulted in a good clinical course. HZ very uncommonly involves sacral dermatomes, but it can develop in patients with prolonged poorly controlled DM. Furthermore, early diagnosis can be difficult when patients have diabetic peripheral neuropathy, which may mask symptoms related to skin lesions. Because this disease is potentially severe, detailed examination is important for clinicians managing patients with DM who have complaints indicative of urinary tract disorders. Keywords: herpes zoster, urinary retention, diabetic neuropathy 
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700 0 |a Ikeda J  |e verfasserin  |4 aut 
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700 0 |a Ishihara H  |e verfasserin  |4 aut 
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773 0 8 |i In  |t Therapeutics and Clinical Risk Management  |g  (01.10.2018)  |w (DE-601)DOAJ00005416X  |x 1176-6336 
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856 4 0 |u https://www.dovepress.com/elsberg-syndrome-related-to-varicella-zoster-virus-infection-with-pain-peer-reviewed-article-TCRM 
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