Adjacent Multi-Dermatomal Herpes Zoster in A Solid Organ Transplant Patient

Varicella zoster virus (VZV) is a member of the family herpesviruses and causes two distinct clinical syndromes: varicella(chickenpox) and herpes zoster(shingles). reactivation of latent VZV, herpes zoster presents as a dermatomal vesicular rash and severe pain. Common presentation of herpes zoster in immunocompetent patients is mono dermatome involvement whereas in patients with immunosuppression may presents multi dermatome. ( Renal transplant recipients require lifelong care and receiving Immunosuppressive drugs to prevent rejection which can increase the risk of opportunistic infections. infections. patients who undergo renal transplantation are prone to reactivation of herpes zoster. Here we presented a 56 years old female patient who received renal transplant 3 month ago.later she felt tingling and itching in right thoracic and back region. After 8 days’ rashes started to appear. She admitted to hospital and Herpes zoster infection was confirmed by positive DNA polymerase chain reaction of the vesicle fluid. her transplant drugs dosage was decreased and we started renal adjusted dose intravenous Acyclovir. Duration of intravenous treatment was 7 Days and the patient fully recovered.