Varicella-Zoster Virus Reactivation During the Incubation Period for Scrub Typhus: A Case Report

• DOI: 10.12659/ajcr.937559
• Publication Date: 2022-10-28T11:26:22Z
• Authors: Byeongcheol Lee; Daeseok Oh; Hyun-Seong Lee; Myoung Jin Ko; Ji Yeon Kwon; Dae Yun Choi; Kyeong Min Jo
• Keywords: Orientia tsutsugamushi; Varicella zoster virus; Chicken Pox; Incubation period

BACKGROUND Herpes zoster caused by the reactivation of latent varicella-zoster virus is thought to result from waning specific cell-mediated immunity. Scrub typhus, an acute infectious disease Orientia tsutsugamushi, affects multiple organs and characterized microangiopathies that in significant vascular leakage subsequent end-organ injury. Very few cases following scrub typhus occurrence have been reported. Furthermore, no previous studies directly investigated whether tsutsugamushi infection a potential risk factor for herpes zoster. CASE REPORT We present case 64-year-old woman without illness who simultaneously developed thoracic dermatome typhus. Clinical symptoms appeared during treatment course symptoms. Based on positive antibody test results, patient was diagnosed with This unique occurred silent incubation period CONCLUSIONS report indicates possibility infection, although relationship between 2 remains undetermined. Physicians should be aware might determinant reactivation.