medigraphic.com
ISSN 2520-9078 (Electronic)

2015, Number 3

<< Back Next >>

Revista de Ciencias Médicas de la Habana 2015; 21 (3)

Clinical epidemiological characteristics and treatment of ophthalmologic herpes zoster

Pérez HO, Cruz VB

Language: Spanish
References: 14
Page: 518-525
PDF size: 261.02 Kb.


ABSTRACT

Introduction: ophthalmologic herpes zoster has increased all over the world and Cuba is not an exception, because of a better knowledge of the infection and the growing of the age rate of the population. But there are several ways of presentation, as well as treatments non based on clinical evidences, so complications have appeared.
Objective: to determine the clinical epidemiological characteristics and indicated treatment in patients with ophthalmologic herpes zoster.
Methods: a transversal descriptive observational study was performed at “Aleida Fernandez Chardiet” Teaching General Hospital in Güines, Mayabeque, from January 2012 to December 2013. The universe was formed by 58 patients with the diagnosis of herpes zoster. The sample included 40 patients with inclusion criteria. The patients were characterized according to demographic variables. Associated conditions, way of presentation, status of the cutaneous rash, ocular complications and indicated treatment were analyzed.
Results: the 85% of the sample presented certain risk factor, age, higher than 70 years old was the most common, typical ways of presentation of the disease prevailed (77.5%). Increasing of ocular complications related to the conditions of the cutaneous rashes was showed (40%) and a poor or absent antiviral treatment (65%).
Conclusions: patients older than 70 years old prevailed, female sex, and there was no difference in the color of the skin, it coincides with the consulted literature. There is a high number of patients who did not receive antiviral treatment and they are associated to ocular complications.


REFERENCES

  1. López Villaescusa MT, Martínez Martínez ML, Faura Berruga C, Pérez García L. Herpes Zoster diseminado. Rev Clin Med Fam [Internet]. 2012 Feb [citado 8 Ene 2015];5(1). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699- 695X2012000100012&lng=es.

  2. Rivera Díaz RC, Arcila Lotero MA. Infusión epidural cervical para tratamiento del dolor por herpes zoster. Reporte de caso con revisión temática. Rev Colomb Anestesiol [Internet]. 2013 [citado 8 Ene 2015];41(4). Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120- 33472013000400011&lng=en.

  3. Romero Pareyón LA. Herpes zoster. Revista Mexicana Dermatología [Internet]. 2011 [citado 20 Jun 2011];55(1). Disponible en: http://www.medigraphic.com/pdfs/derrevmex/rmd-2011/rmd111e.pdf

  4. Sanz Pozo B, Quintana Gómez JI, Martin González I. Manejo del episodio agudo del Herpes zoster y la neuralgia postherpética. Medifam [Internet]. 2002 [citado 20 Jun 2011];12(3). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=s1131-57682002000300002

  5. Da Silva Filho JP, Lucas Neto A, MouraSoares D, Allais M, Dias de Oliveira e Silva E. Manifestaciones clínicas del herpes Zoster enlaregiónmaxilofacial. Acta Odontológica Venezuela [Internet]. 2010 [citado 13 Ene 2014];48(4). Disponible en: http://www.actaodontologica.com/ediciones/2010/4/art22.asp

  6. Cisterna Cáncer R. Prevención de herpes Zóster y neuralgia post-herpética [Internet]. Vizcaya: Asociación de Microbiología y Salud; 2014 [citado 13 Ene 2014]. Disponible en: http://portal.sedolor.es/documentos/consenso_herpes_2014.pdf

  7. Rios Girard JJ. Tratamiento del herpes zoster oftálmico en etapa eruptiva por bloque del ganglio de Gasser. Revista de Argentina Anestesiología. 2003;61(3):151-160.

  8. Gershona Anne A, Gershonb Michael D, Breuerc Judith, Levind Myron J, Oaklandere Anne L, Griffiths Paul D. Advances in the understanding of the pathogenesis and epidemiology of herpes zoster. Journal of ClinicalVirology. 2010;48(1):70002-0.

  9. Clínica Rementaria [Internet]. Madrid: Fundación Rementaria; 2015 [citado 13 Ene 2014]. Disponible en: http://www.cirugiaocular.com/index.php/la-vision/el-ojo-y-susdefectos/ herpes-ocular.html

  10. Yera Nadal JL, Squires Valdés E, Rodríguez Valdés M, Guillén Vargas M. Tratamiento de la neuralgia herpética: descripción de una técnica novedosa. Revista Cubana de Anestesiología y Reanimación [Internet]. 2003 [citado 13 Ene 2014];2(2). Disponible en: http://bvs.sld.cu/revistas/scar/vol2/no2/02020103.pdf

  11. Rachna Gupta AW, Krantz E, Selke S, Warren T, Vargas-Cortes M, Millar G, Corey L. Valacyclovir and Acyclovir for Suppression of Shedding of Herpes Simplex Virus in the Genital Tract. The Journal of Infectious Diseases [Internet]. 2015 [citado 13 Ene 2015];190(8). Disponible en: http://jid.oxfordjournals.org/content/190/8/1374.full

  12. Álvarez- Guzmán C, Rodríguez García A. Queratitis “en archipiélago“ asociada a herpes zoster oftálmico. Reporte de un caso. Rev Mex de Oftalmología [Internet]. 2013 Jun [citado 13 Ene 2015];87(2). Disponible en: http://www.elsevier.es/esrevista- revista-mexicana-oftalmologa-321-articulo-queratitis-en-archipielagoasociada- herpes-90202629?referer=buscador

  13. Morales Polanco I, Coutin Marie G. Herpes Zoster: caracterización clínicaepidemiológica. Tendencia en Cuba y expectativa. 2005;10(1). Disponible en: http://www.sld.cu/galerias/pdf/sitios/vigilancia/rtv0105.pdf

  14. González-Sotero J, Rojas-Alvarez E, Pérez-Ruíz A, Iviricu-Tielves R, Taño-Lazo L. Alteraciones de la superficie ocular en pacientes con VIH/SIDA. Revista de Ciencias Médicas de Pinar del Río [Internet]. 2011 [citado 23 Ene 2015];15(3). Disponible en: http://www.revcmpinar.sld.cu/index.php/publicaciones/article/view/802




2020     |     www.medigraphic.com