2023-11-04 08:14:52
Check your symptoms urgently. Dr. Manoon warns that if anyone has these symptoms, hurry and see a doctor.
From the case of Dr. Manoon, Dr. Manoon Leechawengwong has posted a message stating that shingles is a spreading type. (Disseminated Herpes Zoster)
Found very rarely in healthy people. There are blisters and pustules all over the body. The virus can enter the bloodstream and travel to organs such as the lungs, liver and brain. Spreading shingles is treated with acyclovir.
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Injected intravenously into a 50-year-old female patient who is normally healthy. Had chicken pox as a child Became sick on October 15, 2023, had a fever, severe headache, body aches, and mouth sores for 3 days. Later, water blisters and pustules appeared on the skin, most on the earlobes on both sides, spreading to the forehead (see picture), chest, neck, back, and There were few bumps on both thighs, there were sores in the mouth, there was no history of being in close proximity or contact with people who had smallpox. Went to a nearby hospital on October 19 and received acyclovir intravenously for 2 days. Requested transfer to Vichaiyut Hospital for further treatment.
Blood test found slight anemia. Liver enzyme values were slightly elevated, SGOT 54, SGPT 43. Aspirated fluid from the pustules was tested for infection using the PCR genetic code method. No smallpox virus and Varicella zoster virus were found. Send blood for infection by the genetic code PCR method. Varicella zoster virus was not found.
and Herpes simplex viruses type 1, 2. After testing the cerebrospinal fluid, 68 white blood cells were found, 81% of which were lymphocytes. Protein in the cerebrospinal fluid was slightly high at 49, blood sugar was normal at 56. Detection of infection in the cerebrospinal fluid by PCR genetic code method did not find viruses. Varicella zoster and Herpes simplex viruses type 1, 2
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Conclusion: This patient is likely infected with Varicella zoster Virus (VZV), the shingles virus, which is the same virus as the chickenpox virus. Causes invasive shingles and meningitis. No infection was detected because the patient received acyclovir before coming to Vichaiyut Hospital to administer acyclovir intravenously. After giving medicine, the fever subsided. Headache improves Mouth sores improved The pustules dry up. Finally, if the scab develops, acyclovir will be injected into the vein continuously for 14 days.
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