Varicella-zoster radiculitis mimicking sciatica: A diagnostic dilemma

Varicella-zoster virus (VZV) presenting as a radicular pain in the thoracic region is not uncommon, but the presentation in the lumbar and thigh region is not frequently seen. Characteristic segmental vesicular–bullous rash in a dermatomal distribution associated with pain and allodynia is a prominent feature. The pain appears before rash. It is not uncommon for clinicians to misdiagnose radicular pain caused by VZV due to prolapsed disc. We report two patients who presented to us with complaints of back pain with leg radiculopathy that were initially treated for discogenic radiculopathy and rash was wrongly attributed to hot fomentation. This case report emphasizes the importance of including varicella-zoster radiculitis in the differential diagnosis of radicular pain and clinical examination of every rash. Physical examination is must if the patient complains of rash. Appropriate and timely diagnosis can prevent unnecessary investigations.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Varicella-zoster radiculitis mimicking sciatica: A diagnostic dilemma ; volume:15 ; number:03 ; year:2020 ; pages:666-669
Asian journal of neurosurgery ; 15, Heft 03 (2020), 666-669

Beteiligte Personen und Organisationen
Mallepally, Abhinandan
Mahajan, Rajat
Rustagi, Tarush
Marathe, Nandan
Chhabra, Harvinder

DOI
10.4103/ajns.AJNS_75_20
URN
urn:nbn:de:101:1-2023012009025359602122
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:33 MESZ

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Beteiligte

  • Mallepally, Abhinandan
  • Mahajan, Rajat
  • Rustagi, Tarush
  • Marathe, Nandan
  • Chhabra, Harvinder

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