Zoster generalisatus

Last Updated: 2023-07-07

Author(s): Anzengruber F., Navarini A.

ICD11: 1E91.Z

Herpes zoster infection with >25 aberrant vesicles, which are not arranged segmentally. This occurs especially in immunosuppression.

Herpes zoster without confinement to the dermatomes, often haemorrhagic-necrotic.

  • Clinical
  • Direct immunofluorescence ("Microtrak")
  • Swab firmly from the base of the bubble with cotton swab (do not use the swab for PCR)
  • Swab out onto slide and apply fixing fluid
  • PCR
    • Swab firmly from the base of the bubble with cotton swab
    • Place cotton swab in virus medium, leave for 15 sec, then remove swab

Myocarditis, pancreatitis, oesophagitis, hepatitis.

Protracted course, sometimes takes weeks to heal with immunosuppression.

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