Herpes zoster in sacro-ischiatic location. Case report

Abstract

Introduction: Herpes zoster is caused by the reactivation of the varicella-zoster virus. It has an incidence of three cases per thousand inhabitants per year, and the chances of suffering from it increase with age. Its main risk factors are immunosuppression states, most of the time as a result of chronic-degenerative diseases. Herpes zoster can also manifest itself in atypical forms in a limited number of cases, such as blistering or hemorrhagic presentations, or both. Objective: To present an atypical form of herpes zoster in a patient who attended a gynecology consultation at the Guanabacoa Maternity Hospital in 2018, her treatment and evolution. Case presentation: An atypical case of herpes zoster, with postherpetic neuralgia, was presented in a 60-year-old white patient with a history of obesity, who attended the Gynecology consultation at the Maternal Hospital of Guanabacoa due to skin and mucosal lesions. This case is considered of interest given the atypical location and gynecological consultation. Although the incidence of herpes zoster is low, it is important to consider the possibility of this disease in this form of presentation that involves the gynecological system. Conclusion: It is concluded that this is an atypical clinical variety of herpes zoster of which there are few references in the bibliography, hence the importance of its recognition.