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Herpes Zoster: HELP
Articles from Tunisia
Based on 9 articles published since 2008

These are the 9 published articles about Herpes Zoster that originated from Tunisia during 2008-2019.
+ Citations + Abstracts
1 Article [Herpetic facial paralysis]. 2015

Lahiani, Rim / Mahfoudhi, Madiha. ·Service ORL, Hôpital Charles Nicolle, Tunis, Tunisie. · Service de Médecine Interne A, Hôpital Charles Nicolle, Tunis, Tunisie. ·Pan Afr Med J · Pubmed #26955425.

ABSTRACT: -- No abstract --

2 Article [Ramsay Hunt syndrome]. 2015

Mahfoudhi, Madiha / Lahiani, Rim. ·Service de Médecine Interne A, Hôpital Charles Nicolle, Tunis, Tunisie. · Service d'ORL, Hôpital Charles Nicolle, Tunis, Tunisie. ·Pan Afr Med J · Pubmed #26893805.

ABSTRACT: -- No abstract --

3 Article [Auricular zona complicated by an invalidating vestibular syndrome]. 2015

Mahfoudhi, Madiha / Khaled, Khamassi. ·Service de médecine interne A Hôpital Charles Nicolle, Tunis, Tunisie. · Service ORL, Hôpital Charles Nicolle, Tunis, Tunisie. ·Pan Afr Med J · Pubmed #26430476.

ABSTRACT: -- No abstract --

4 Article Pattern of Acute Retinal Necrosis in a Referral Center in Tunisia, North Africa. 2015

Khochtali, Sana / Abroug, Nesrine / Kahloun, Rim / Ksiaa, Imen / Nahdi, Imen / Zaouali, Sonia / Ben Yahia, Salim / Khairallah, Moncef. ·a Department of Ophthalmology , Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir , Monastir , Tunisia. ·Ocul Immunol Inflamm · Pubmed #24945738.

ABSTRACT: PURPOSE: To describe the pattern of acute retinal necrosis (ARN) syndrome in a referral center in Tunisia. METHODS: Retrospective review of the charts of 12 patients (12 eyes). RESULTS: Necrotizing retinitis involved >50% of the retina in 33.3% of eyes. Polymerase chain reaction on aqueous humor sample identified herpes simplex virus-1 in 4 eyes (33.3%) and varicella zoster virus in 3 eyes (25%), and was negative in 5 eyes (41.7%). All patients received intravenous acyclovir, followed by oral antivirals. Follow-up ranged from 6 to 16 months. Retinal detachment (RD) occurred in 3 eyes (25%), but no patient developed bilateral ARN. Final visual acuity was 20/200 or worse in 7 eyes (58.3%). Delay in diagnosis (p = 0.015), macular involvement (p = 0.045), development of RD (p = 0.018), and 25-50% of retinal involvement (p = 0.045) were associated with a worse visual outcome. CONCLUSION: ARN carries poor visual prognosis in Tunisia.

5 Article Ramsay Hunt syndrome. 2012

Zainine, R / Sellami, M / Charfeddine, A / Beltaief, N / Sahtout, S / Besbes, G. ·Service d'ORL et de chirurgie maxillofaciale, hôpital La Rabta, Jabbari, Tunis, Tunisia. rimzainine@yahoo.fr ·Eur Ann Otorhinolaryngol Head Neck Dis · Pubmed #22364868.

ABSTRACT: INTRODUCTION: Ramsay Hunt syndrome is a viral infection that combines facial palsy and pinnal vesicular rash. OBJECTIVES: To detail diagnostic criteria, treatment and prognosis in Ramsay Hunt syndrome. PATIENTS AND METHODS: A retrospective study of 15 patients with Ramsay Hunt syndrome admitted to the ENT department of La Rabta Hospital (Tunis) from 2003 to 2009. RESULTS: The main presenting symptom was facial palsy associated with conchal vesicular rash. House-Brackmann classification of facial nerve function ranged from III to V. All patients were treated with acyclovir and corticosteroids. Mean follow-up was 8 months. Ten patients showed improvement in facial palsy, four had permanent palsy and one moved from grade IV to grade III. CONCLUSION: Ramsay Hunt syndrome involves severe dysfunction, with poorer facial nerve prognosis than in Bell's palsy.

6 Article Chronic lymphocytic leukemia revealed by a branulomatous zosteriform eruption. 2012

Trojjet, Sondes / Hammami, Houda / Zaraa, Inès / Bouzguarrou, Alia / Joens, Meriem / Haouet, Slim / Ben Osman, Amel / Mokni, Mourad. ·Department of Dermatology, La Rabat Hospital, Tunis Tunisia. ·Skinmed · Pubmed #22324180.

ABSTRACT: A 70-year-old woman presented with an atypical erythematopapular zosteriform eruption of 3 weeks' duration. The patient had no history of previous vesicular eruption. She developed a painful burning sensation on the neck. Clinical examination revealed a cluster of small erythematous firm papules and plaques in a zosteriform distribution on the left ear, face, neck, and shoulder (Figure 1A). The lesions were unilateral and did not cross the midline. Multiple cervical and axillary lymph nodes were palpable. Laboratory tests revealed an increase in white blood cells of 25,000/mm3, with 17,910/mm3 lymphocytes and a normal range of hemoglobin, platelets, creatinine, and liver enzymes. Erythrocyte sedimentation rate was 87 mm. Blood smear results showed small, morphologically mature lymphocyte cells. In immune phenotyping, lymphocyte cells co-express CD5 and B-cell-surface antigens CD19 and CD23, as well as a restriction of kappa immunoglobulin light chains. The cells were CD22-, CD79b-, CD38-, CD10-, CD25- and FMC7-. Computed thoracoabominal tomography revealed cervical, mediastinal, abdominal, and pelvic adenopathy confirming the diagnosis of B-cell chronic lymphocytic leukemia (B-CLL) stage B. Histology of a skin biopsy from a papule showed a dense nodular granulomatous infiltrate in the dermis (Figure 2A). The infiltrate contained epithelioid and giant cells surrounded by lymphocytes and plasma cells. Small monomorphic lymphocytes without mitotic figures predominated (Figure 2B). The epidermis was irregularly thickened. Immunohistology revealed a polymorphous infiltrate with a phenotype of reactive T lymphocytes (CD3, CD5 positive) (Figure 2C), B lymphocytes (CD20 positive) (Figure 2D). Epithelioid and giant cells were positive for CD68 (Figure 2E). A latent herpes zoster infection with granulomatous reaction at the site ofzoster lesions was highly suspected as the patient reported a unilateral burning sensation without a history of vesicular zosteriform eruption. She received treatment with intravenous acyclovir 10 mg/kg every 8 hours. The papular lesions resolved markedly (60%) on macular plaques at the end of the treatment. Following topical treatment with corticosteroids, the lesions healed completely within 4 weeks (Figure 1B). Concerning leukemia, our patient was monitored without therapy by the hematologist.

7 Article Post varicella zoster virus myelitis in immunocompetent patients. 2011

Ben-Amor, Sana / Lammouchi, Turkia / Benslamia, Lamia / Benammou, Soufiene. ·Department of Neurology, Sahloul Hospital, 4054 Sousse, Tunisia. kaffelsana@yahoo.fr ·Neurosciences (Riyadh) · Pubmed #21427667.

ABSTRACT: We report 2 immunocompetent patients with myelitis. The first was a 55-year old man who developed myelitis after intercostal herpes zoster. The second was a 19-year-old boy who presented with myelopathy after varicella infection. Varicella-zoster virus (VZV) myelitis was diagnosed based on the close temporal relationship between rash and onset of clinical symptoms, and by the elevated rate of anti-VZV IgG in the CSF without oligoclonal bands in the first case, and presence of VZV DNA in the second. The course was favorable after a 3-day course of corticosteroids and 3 weeks of acyclovir. Varicella-zoster virus myelitis is uncommon; it affects essentially immunodepressed patients. We highlight the importance of considering the possibility of VZV myelitis, even in immunocompetent patients. The combination of corticoids and acyclovir must be instituted, quickly, to improve functional outcome.

8 Article [Seroprevalence of rubella virus, varicella zoster virus, cytomegalovirus and parvovirus B19 among pregnant women in the Sousse region, Tunisia]. 2011

Hannachi, N / Marzouk, M / Harrabi, I / Ferjani, A / Ksouri, Z / Ghannem, H / Khairi, H / Hidar, S / Boukadida, J. ·Laboratoire de Microbiologie-immunologie, Unité de Recherche « Caractérisation Génomique des Agents Infectieux UR 02SP13 », Avenue Ibn-Jazzar, 4000 Sousse, Tunisie. nhannachi@lycos.com ·Bull Soc Pathol Exot · Pubmed #21243459.

ABSTRACT: The aim of the study is to evaluate seroprevalence of rubella virus (RV), cytomegalovirus (CMV), varicella zoster virus (VZV), and parvovirus B19 (PB19) in 404 Tunisian pregnant women, and to determine reliability of maternal past history of eruption. Sociodemographic characteristics, risk factors, and past history of eruption were collected through a questionnaire. Serologic tests were performed using enzyme immunoassays. Risk factors were analyzed using univariate and multivariate logistic regression models. Seroprevalences were 79.7% for rubella, 96.3% for CMV, 80.9% for VZV, and 76.2% for PB19. In multivariate analysis, the number of persons per room (> 2) in the house during childhood was associated with CMV infection (P = 0.004), irregular professional husband's activity was correlated with VZV infection (P = 0.04), and an age of more than 30 years was associated with PB19 infection (P = 0.02). History of rubella, varicella, and PB19 infection was unknown for, respectively, 55.8%, 20%, and 100% of women. False history of rubella and varicella were found for 7.4% and 15% of women, respectively. The positive and negative predictive values (PPV and NPV) of rubella history were, respectively, 92.6% and 17.2%, and were, respectively, 84.9% and 20.9% for varicella history. Susceptibility to RV, VZV, and PB19 infection remains high in pregnancy in our population. Preventive strategies against congenital rubella must be reinforced. Vaccination against VZV should be considered in seronegative women. Systemic CMV screening is not warranted in our country where high immunity is acquired probably in childhood. Since maternal history of eruption is not reliable, we recommend serologic testing to determine immune status of women.

9 Minor [Parsonage-Turner syndrome following varicella-zoster virus infection]. 2015

Chebbi, Wafa / Kessomtini, Wassia / Kacem, Hanène Haj / Laajili, Hanène / Said, Wafa. ·CHU Taher Sfar Mahdia, service de médecine interne, 5100 Mahdia, Tunisie. Electronic address: chebbiwafamedimegh@yahoo.fr. · CHU Taher Sfar Mahdia, service de médecine physique, 5100 Mahdia, Tunisie. · CHU Taher Sfar Mahdia, service de médecine interne, 5100 Mahdia, Tunisie. ·Presse Med · Pubmed #25704804.

ABSTRACT: -- No abstract --