A study of post-traumatic shingles as a work related injury

Patrick Foye, Todd P. Stitik, Scott F. Nadler, Boqing Chen

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Background: After chicken pox, the herpes varicella-zoster (D) virus may remain dormant in the dorsal root ganglion until later reactivation causes shingles, characterized by painful and cutaneous vesicular eruptions along a unilateral dermatome. Shingles as a work-related injury has not been previously addressed in the medical literature. Case History: We present a 50-year old female hospital employee who, while working, sustained an acute, traumatic hyperextension injury to her right wrist, hand, and fingers. Although she initially responded to treatment for flexor tendinitis, she suddenly developed shingles in the right C5-C6 dermatomes. She was treated with and her skin lesions resolved, but post-herpetic neuralgia persisted. Conclusions: It was felt that her shingles was causally related to her occupational injury since trauma (previously reported to precipitate shingles) was her only risk factor and the timing and location of the lesions corresponded closely to the occupational injury. In addition to appropriately diagnosing and treating their patients, workers' compensation physicians often must determine if a particular condition was caused by the original work-related incident. Clinicians who treat trauma patients and injured workers should be aware of post-traumatic shingles and understand the causal relationship of this uncommon but clinically important phenomenon. (C) 2000 Wiley-Liss, Inc.

Original languageEnglish (US)
Pages (from-to)108-111
Number of pages4
JournalAmerican journal of industrial medicine
Volume38
Issue number1
DOIs
StatePublished - Jun 30 2000

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Keywords

  • Herpes zoster
  • Occupational injury
  • Shingles
  • Trauma
  • Workers compensation

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