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呈帶狀庖疹表現之單純疱疹感染於一三歲孩童-病例報告

Herpes Simplex Mimicking Herpes Zoster in a 3-year-old Child-A Case Report

摘要


單純疱疹病毒的感染是一種常見的疾病,發生在口臉部及生殖部位的群聚性水泡病灶,是其常見且典型的臨床表現。然而少見的非典型臨床表現,卻可能造成誤診。我們報告一例三歲大的男童,在其左上臂處,於接種完日本腦炎病毒疫苗三天後,長出呈帶狀庖疹樣的群聚性水泡病灶。該童之前並無水痘發生之病史。經由皮膚切片的病理檢查及組織的聚合酶連鎖反應檢測下,證實為單純疙疹病毒的感染。我們在此提出一例於臨床上極似帶狀疱疹的單純庖疹病毒感染的案例,以供學界參考,並作文獻回顧。

關鍵字

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並列摘要


Herpes simplex virus infection is a commonly encountered disease. The clinical manifestation is characterized by grouped vesicular eruptions localized predominantly on the orofacial and genital area. However, there are some atypical presentations rarely encountered in daily practice which may lead to an inaccurate diagnosis. We report a 3-year-old boy presented with grouped vesicular lesions in a zosteriform array on his left upper arm where Japanese encephalitis virus vaccine was injected 3 days ago. There is no previous history of chickenpox. After skin biopsy and polymerase chain reaction examination, herpes simplex virus infection was diagnosed. We hereby report a case of herpes simplex mimicking herpes zoster in a 3-year-old child and review related literature.

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