Scholarlink

Background <p>Herpes zoster results from reactivation of the varicella zoster virus (VZV) and most frequently affects the thoracic dermatomes, especially T3 to T5.</p> Case description <p>We present the case of a&#xa0;61-year-old patient who presented with dysuria and grouped, partly crusted vesicles, some on an erythematous base on the glans penis, scrotum, and gluteal region. Differential diagnoses included herpes virus infection, bacterial balanoposthitis, syphilis, and contact dermatitis. A&#xa0;polymerase chain reaction (PCR) test for VZV was positive, confirming the diagnosis of herpes zoster.</p> Conclusion <p>Sacral herpes zoster, including dermatomes such as S2, S3, and S4, is very rarely reported. This case highlights the importance of atypical presentations of herpes zoster and emphasizes the diagnostic and therapeutic considerations relevant for clinicians managing them.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Penile, scrotal, and gluteal vesicles

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年7月29日

查看全文
  • A. Kogler,
  • K. Großschädl,
  • B. Sadoghi

摘要

Background

Herpes zoster results from reactivation of the varicella zoster virus (VZV) and most frequently affects the thoracic dermatomes, especially T3 to T5.

Case description

We present the case of a 61-year-old patient who presented with dysuria and grouped, partly crusted vesicles, some on an erythematous base on the glans penis, scrotum, and gluteal region. Differential diagnoses included herpes virus infection, bacterial balanoposthitis, syphilis, and contact dermatitis. A polymerase chain reaction (PCR) test for VZV was positive, confirming the diagnosis of herpes zoster.

Conclusion

Sacral herpes zoster, including dermatomes such as S2, S3, and S4, is very rarely reported. This case highlights the importance of atypical presentations of herpes zoster and emphasizes the diagnostic and therapeutic considerations relevant for clinicians managing them.