Herpes Zoster Lumbalis Sinistra pada Pasien Terinfeksi HIV
DOI:
https://doi.org/10.55175/cdk.v45i4.802Kata Kunci:
Herpes zoster, infeksi HIV, virus varicella zosterAbstrak
Human Immunodeficiency Virus (HIV) merupakan virus yang menyebabkan menurunnya sistem kekebalan tubuh. Diketahui adanya hubungan antara infeksi HIV dan timbulnya berbagai manifestasi penyakit pada kulit. Herpes zoster merupakan penyakit kulit yang disebabkan reaktivasi dan multiplikasi virus varicella zoster yang menetap pada ganglia sensoris setelah varicella. Kasus: seorang laki-laki usia 32 tahun dengan keluhan timbul gelembung bergerombol berisi air dengan dasar kulit eritem disertai nyeri pada betis sampai punggung kaki kiri sejak 3 hari. Pasien terinfeksi HIV sejak 7 bulan yang lalu. Didapatkan lesi vesikel herpetiformis di atas dasar eritem sesuai dermatom Lumbal 5 (L5) sinistra. Tes Tzank menunjukkan adanya sel raksasa berinti banyak. Jumlah sel CD4 212/μL.
Human Immunodeficiency Virus (HIV) may suppress the immune system. There is relationship between HIV infections with various skin manifestations. Herpes zoster is caused by reactivation and multiplication of varicella zoster virus in sensory ganglia after varicella. Case: A 32 year-old male with painful, clustered vesicle on erythematous base along left calf to foot since 3 days. He was diagnosed HIV positive 7 months ago. Physical examination showed herpetiform vesicles on erythematous base in left Lumbal 5 (L5) dermatome. Tzank test showed the presence of multinucleated giant cells. CD4 cell count is 212/μL.
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