5.0 of 3 Ratings
A 65-year-old male is evaluated in clinic approximately six months after resolution of a herpes zoster outbreak on his left flank. He states that despite the lesions having resolved, he is still experiencing constant burning and hypersensitivity to touch in the distribution of the old rash. You explain to him that this complication can occur in 20-30% of patients after having herpes zoster. You also explain that vaccination with the shingles vaccine in individuals 60-70 years of age can reduce the incidence of this complication. What is the complication?
Acute herpetic neuralgia
Secondary bacterial infection
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A 75-year-old man presents to his primary care physician with a painful rash. He notes his side began to hurt several days prior without any visible skin changes; however, over the past 2 days a rash has developed. The patient's past medical history is only notable for diabetes mellitus type II. He was recently started on an antibiotic for sinusitis as well. In his spare time, he goes hiking and recently returned from a hiking trip 2 days ago. He is currently sexually active with both men and women. His temperature is 99.0°F (37.2°C), blood pressure is 154/88 mmHg, pulse is 83/min, respirations are 12/min, and oxygen saturation is 98% on room air. Physical exam is notable for the finding in Figure A. Which of the following is the most likely diagnosis?
Human herpes virus 1
Human herpes virus 3
Human herpes virus 6