Herpes zoster after left nephroureterectomy for renal carcinoma: a case report

Abstract Background Diabetes and malignant tumors often lead to abnormal immune function, increasing susceptibility to herpes zoster and severe post-herpetic neuralgia. Renal insufficiency following renal cell carcinoma surgery can be compounded by treatment with nephrotoxic antiviral drugs. There h...

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Main Authors: Yuren Zhang, Jie Li, Qing Ni
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-025-10460-1
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author Yuren Zhang
Jie Li
Qing Ni
author_facet Yuren Zhang
Jie Li
Qing Ni
author_sort Yuren Zhang
collection DOAJ
description Abstract Background Diabetes and malignant tumors often lead to abnormal immune function, increasing susceptibility to herpes zoster and severe post-herpetic neuralgia. Renal insufficiency following renal cell carcinoma surgery can be compounded by treatment with nephrotoxic antiviral drugs. There have also been case reports of herpes zoster occurring at the surgical site. Case presentation A 68-year-old man developed herpes zoster at the surgical site and severe neuralgia following left nephroureterectomy for left kidney clear cell carcinoma accompanied by postoperative renal insufficiency. After treatment with brivudine, the herpes was controlled, and neuralgia began to subside by day 3, with crust formation occurring by day 9. Conclusions Postoperative nerve injury and regeneration may influence varicella-zoster virus latency. This case indicates that brivudine is an effective treatment for herpes zoster in patients with chronic renal insufficiency.
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institution Kabale University
issn 1471-2334
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BMC Infectious Diseases
spelling doaj-art-9a0c8074b2dc4330b430f45e8ce68f292025-01-19T12:11:46ZengBMCBMC Infectious Diseases1471-23342025-01-012511710.1186/s12879-025-10460-1Herpes zoster after left nephroureterectomy for renal carcinoma: a case reportYuren Zhang0Jie Li1Qing Ni2Department of Endocrinology, Guang’anmen Hospital, China Academy of Chinese Medical SciencesDepartment of Oncology, Guang’anmen Hospital, China Academy of Chinese Medical SciencesDepartment of Endocrinology, Guang’anmen Hospital, China Academy of Chinese Medical SciencesAbstract Background Diabetes and malignant tumors often lead to abnormal immune function, increasing susceptibility to herpes zoster and severe post-herpetic neuralgia. Renal insufficiency following renal cell carcinoma surgery can be compounded by treatment with nephrotoxic antiviral drugs. There have also been case reports of herpes zoster occurring at the surgical site. Case presentation A 68-year-old man developed herpes zoster at the surgical site and severe neuralgia following left nephroureterectomy for left kidney clear cell carcinoma accompanied by postoperative renal insufficiency. After treatment with brivudine, the herpes was controlled, and neuralgia began to subside by day 3, with crust formation occurring by day 9. Conclusions Postoperative nerve injury and regeneration may influence varicella-zoster virus latency. This case indicates that brivudine is an effective treatment for herpes zoster in patients with chronic renal insufficiency.https://doi.org/10.1186/s12879-025-10460-1Herpes zosterPost-herpetic neuralgiaBrivudineRenal carcinomaDiabetesRenal insufficiency
spellingShingle Yuren Zhang
Jie Li
Qing Ni
Herpes zoster after left nephroureterectomy for renal carcinoma: a case report
BMC Infectious Diseases
Herpes zoster
Post-herpetic neuralgia
Brivudine
Renal carcinoma
Diabetes
Renal insufficiency
title Herpes zoster after left nephroureterectomy for renal carcinoma: a case report
title_full Herpes zoster after left nephroureterectomy for renal carcinoma: a case report
title_fullStr Herpes zoster after left nephroureterectomy for renal carcinoma: a case report
title_full_unstemmed Herpes zoster after left nephroureterectomy for renal carcinoma: a case report
title_short Herpes zoster after left nephroureterectomy for renal carcinoma: a case report
title_sort herpes zoster after left nephroureterectomy for renal carcinoma a case report
topic Herpes zoster
Post-herpetic neuralgia
Brivudine
Renal carcinoma
Diabetes
Renal insufficiency
url https://doi.org/10.1186/s12879-025-10460-1
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AT jieli herpeszosterafterleftnephroureterectomyforrenalcarcinomaacasereport
AT qingni herpeszosterafterleftnephroureterectomyforrenalcarcinomaacasereport