International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

   
Case Report
 
An unusual case of reactivation of herpes zoster after Guillain-Barré syndrome in an immunocompetent child
Lahmouad Asma1, Mouaffak Youssef1, Younous Said1
1Department of Pediatric Anesthesia & Intensive Care Medicine, Mother and Child Hospital, CHU Mohammed IV, University Cadi Ayyad, IbnSina Street, Ammerchich, Marrakech, Morocco.

doi:10.5348/ijcri-201619-CR-10606

Address correspondence to:
Lahmouad Asma
Department of Pediatric Anesthesia & Intensive Care Medicine
Mother and Child Hospital, CHU Mohammed IV, University Cadi Ayyad, IbnSina Street
Ammerchich, Marrakech
Morocco

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How to cite this article
Asma L, Youssef M, Said Y. An unusual case of reactivation of herpes zoster after Guillain-Barré syndrome in an immunocompetent child. Int J Case Rep Images 2016;7(2):118–122.


Abstract
Introduction: Herpes zoster has been widely described in the context of different systemic autoimmune diseases, but not in the Guillain-Barré syndrome. The Guillain-Barré syndrome that develops as a result of herpes zoster is rare; and when it does occur, it usually follows a cutaneous herpes zoster eruption. We present here a case of an acute inflammatory demyelinating polyradiculoneuropathy that occurred prior to the cutaneous herpes zoster eruption.
Case Report: A six-year-old healthy immunocompetent child with Guillain-Barré syndrome presenting with: acute tetraplegia, areflexia, and albuminocytologic dissociation in the cerebrospinal fluid. Electrophysiological studies indicated acute inflammatory demyelinating polyneuropathy (AIDP). Two doses of intravenous immunoglobulin (IVIG) were administered. Two months later, the patient had developed a typical herpes zoster eruption. He was treated symptomatically and had complete resolution of the lesions. To our knowledge, this is the first case report about herpes zoster complicating Guillain-Barré syndrome in an immunocompetent child which has not yet been found in literature.
Conclusion: Guillain-Barré syndrome may be an unrecognized risk factor for reactivation of a latent infection such as herpes zoster in children.

Keywords: Children, Guillain-Barré syndrome, Herpes zoster, Immunocompetent


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Author Contributions
Lahmouad Asma – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mouaffak Youssef – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Younous Said – Substantial contributions to conception and design, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Lahmouad Asma et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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