Acta Scientific Women's Health

Case Report Volume 7 Issue 2

Sacral Herpes Zoster in Immunocompetent Patient Followed by Dysfunction of Voiding Reflexes of the Bowel and Bladder. A Rare Elsberg Syndrome that Needs to be Differential Diagnosed

Anthoula C Tsolaki1, Magda Tsolaki1* and Evangelos Toulis2

1Neurological Department, Euromedica General Clinic of Thessaloniki, Thessaloniki, Greece
2Internal Medicine Department, Euromedica General Clinic of Thessaloniki, Thessaloniki, Greece

*Corresponding Author: Magda Tsolaki, Neurological Department, Euromedica General Clinic of Thessaloniki, Thessaloniki, Greece.

Received: January 20, 2025; Published: January 31, 2025

Abstract

Herpes zoster (HZ) is a neurologic skin infection caused by reactivation of varicella-zoster virus (VZV) latent in the human body. VZV establishes an incubation period in ganglia and when activated it may influence the micturition and the defecation.

Keywords: Herpes Zoster (HZ); Urinary Retention

References

  1. Matsumoto H., et al. “Rectal ulcer in a patient with VZV sacral meningoradiculitis (Elsberg Syndrome)”. Internal Medicine 51 (2012): 651-654.
  2. Tan Z and Shen J. “Acupuncture treatment of acute urinary retention caused by varicella-zoster virus through by combining the mechanism of sacral neuromodulation: A rare case report”. Medicine 10 (2023): E36007.
  3. Savoldi F., et al. “Elsberg syndrome”. Neurology Neuroimmunology and Neuroinflammation 4 (2017).
  4. Jellinek EH and Tulloch WS. “HERPES ZOSTER WITH DYSFUNCTION OF BLADDER AND ANNUS”. LANCET (1976): 1219-1222.
  5. Chiriac A., et al. “Sacral (S1) herpes zoster”. Journal of Pain Research 12 (2019): 1475-1477.
  6. Santos DH., et al. “Myelorradiculitis due to Varicella Zoster (Elsberg syndrome) as the first symptom of HIV in a patient with Crohn’s disease in use of Infliximab”. Multiple Sclerosis and Related Disorders 47 (2021): 102643.
  7. Chen S-Y., et al. “Incidence of herpes zoster in patients with altered immune function”. Infection 42 (2014): 325-334.
  8. Desai R., et al. “Syndrome, Lumbosacral Radiculopathy, and Myelitis Due to Herpes Zoster in a Patient With Smoldering Myeloma”. Journal of Investigative Medicine High Impact Case Reports 10 (2022): 232470962110633.
  9. Nishiyama D., et al. “Elsberg syndrome caused by herpes zoster in the sacral region with preceding urinary retention”. Acute Medicine and Surgery (2023): 10.
  10. Patel R., et al. “European guidelines for the management of genital herpes”. International Journal of STD and AIDS 28 (2017): 1366-1379.
  11. Cohen JI. “Herpes Zoster HHS Public Access”. The New England Journal of Medicine 369 (2013): 255-263.

Citation

Citation: Magda Tsolaki., et al. “Sacral Herpes Zoster in Immunocompetent Patient Followed by Dysfunction of Voiding Reflexes of the Bowel and Bladder. A Rare Elsberg Syndrome that Needs to be Differential Diagnosed".Acta Scientific Women's Health 7.2 (2025): 35-38.

Copyright

Copyright: © 2025 Magda Tsolaki., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US