Copyright
©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2021; 9(33): 10308-10314
Published online Nov 26, 2021. doi: 10.12998/wjcc.v9.i33.10308
Published online Nov 26, 2021. doi: 10.12998/wjcc.v9.i33.10308
Transverse myelitis after infection with varicella zoster virus in patient with normal immunity: A case report
Daehun Yun, Soo Young Cho, Wan Ju, Eun Hyoung Seo, Department of Anesthesiology and Pain Medicine, Kwangju Christian Hospital, Gwangju 61661, South Korea
Author contributions: Yun DH and Seo EH cared for the patient, conceived and designed the case report, and wrote the manuscript; Yun DH, Cho SY and Ju W edited the manuscript; Cho SY and Ju W supervised the work; all authors read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Daehun Yun, MD, Doctor, Department of Anesthesiology and Pain Medicine, Kwangju Christian Hospital, No. 37 Yangnim-ro, Nam-gu, Gwangju 61661, South Korea. squall12@naver.com
Received: July 6, 2021
Peer-review started: July 6, 2021
First decision: August 18, 2021
Revised: August 21, 2021
Accepted: September 22, 2021
Article in press: September 22, 2021
Published online: November 26, 2021
Peer-review started: July 6, 2021
First decision: August 18, 2021
Revised: August 21, 2021
Accepted: September 22, 2021
Article in press: September 22, 2021
Published online: November 26, 2021
Core Tip
Core Tip: The occurrence of transverse myelitis (TM) secondary to varicella zoster virus (VZV) in immunocompetent patients is very rare. VZV-TM should be suspected when a patient visits an outpatient pain clinic with herpes zoster and presents neurological symptom(s). VZV-TM must be diagnosed early, by magnetic resonance imaging and/or cerebrospinal fluid analysis, since delayed intervention may allow for serious complications to develop. Also, early administration of a combination of antiviral drugs and corticosteroids may help resolve the condition and relieve the associated pain experienced by patients with TM secondary to VZV.