Case Report
Volume 13 Issue 10 - 2021
A Case Report of Herpes Zoster Infection Manifested as Pricking Chest Pain Followed by Postherpetic Neuralgia in a Patient Recovered with COVID-19
Mahesh D, Lingeshwaran GP, Kaviya S, Kaoshik S and Rajanandh MG*
Department of Pharmacy Practice, Sri Ramachandra Faculty of Pharmacy, Sri Ramachandra Institute of Higher Education and Research, Deemed to be University, Porur, Chennai, India
*Corresponding Author: Rajanandh MG, Department of Pharmacy Practice, Faculty of Pharmacy, Sri Ramachandra Institute of Higher Education and Research, Deemed to be University, Porur, Chennai, India.
Received: August 18, 2021; Published: September 06, 2021




Abstract

Background: COVID-19 infection affects Respiratory system as well as other organs such as the skin. Herein, we report a case of varicella zoster virus (VZV) reactivation in a patient who had recovered from COVID-19 infection and had also been vaccinated against COVID-19.

Case Description: After the 18thday of COVID-19 recovery, the 37-year-old patient began to have right-sided chest pain on and off. One week before to the COVID-19 attack, one dose of COVISHIELD was given. The patient was advised to undergo an electrocardiogram (ECG) and a postero-anterior chest x-ray (CXR-PA). The ECG revealed sinus tachycardia and did not showed the hallmark characters for myocardial infarction (MI) such as ST segment elevation and ST segment depression. The CXR-PA was normal. He approached with a major complaint of severe blisters over his right chest after three days. However, there have been no reports of burning or itching. Herpes zoster (HZ) was confirmed when erythematous grouped vesicles corresponding to the right-sided T3 dermatome was discovered during an examination. For two months after finishing herpes zoster therapy, the patient suffered from post-herpetic neuralgia.

Conclusion: It is difficult to confirm if the COVID-19 infection or COVID-19 immunization increases the risk of HZ based on current information, which is restricted to case reports and case series. More research is needed to determine the precise mechanism of HZ after COVID-19 recovery and vaccines. During the pandemic, practitioners should be aware of the potential elevated risk of HZ and consider timely treatment and preventive actions.

Keywords: Herpes Zoster; Post-Herpetic Neuralgia; COVID-19; Vaccination

References

  1. Hardik D Desai., et al. “A Rare Case of Varicella-Zoster Virus Reactivation Following Recovery From COVID-19”. Cureus 1 (2021): 1-4.
  2. Pooja Arora., et al. “Herpes zoster after inactivated COVID-19 vaccine: A cutaneous adverse effect of the vaccine”. Journal of Cosmetic Dermatology (2021).
  3. Javier Diez-Domingo., et al. “Can COVID-19 Increase the Risk of Herpes Zoster? A Narrative Review”. Dermatology and Therapy (2021).
  4. Sampathkumar P., et al. “Herpes zoster (shingles) and postherpetic neuralgia”. Mayo Clinic Proceedings 3 (2009): 274-280.
  5. Olivier Voisin., et al. “Disseminated Herpes Zoster During COVID-19”. Infectious Diseases in Clinical Practice2 (2021): 109-110.
  6. Victoria Furer., et al. “Herpes zoster following BNT162b2 mRNA COVID-19 vaccination in patients with autoimmune inflammatory rheumatic diseases: a case series”. Rheumatology (2021): 345.
  7. Mohamed L., et al. “Herpes zoster (shingles) complicating the course of COVID-19 infection”. Journal of Dermatological Treatment 12 (2020): 1-3.
  8. Edward Eid., et al. “Herpes zoster emergence following mRNA COVID-19 vaccine”. Journal of Medical Virology (2021): 1-2.
  9. Tessas N Kluger. “Ipsilateral herpes zoster after the first dose of BNT162b2 mRNA COVID-19 vaccine”. JEADV (2021).
  10. Adrian Pona., et al. “Herpes zoster as a potential complication of coronavirus disease 2019”. Dermatologic Therapy (2020): e13930.
  11. Xueqin Cao., et al. “Herpes Zoster and Postherpetic Neuralgia in an Elderly Patient with Critical COVID-19: A Case Report”. Journal of Pain Research (2020): 13.
  12. H-H Chiu., et al. “Herpes zoster following COVID-19 vaccine: a report of three cases”. QJM: An International Journal of Medicine (2021).
  13. Aksu SB and Öztürk GZ. “A rare case of shingles after COVID-19 vaccine: is it a possible adverse effect?” Clinical and Experimental Vaccine Research2 (2021): 198-201.
Citation: Rajanandh MG., et al. “A Case Report of Herpes Zoster Infection Manifested as Pricking Chest Pain Followed by Postherpetic Neuralgia in a Patient Recovered with COVID-19”. EC Neurology 13.10 (2021): 03-09.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


December Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the December issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before December 20, 2021.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk