Abstract
Varicella-zoster virus reactivation can cause painful and vesicular rashes involving some dermatomes, which is defined as herpes zoster. We reported a 68 years old man who had come to the clinic with a complaint of hematuria. In the examination, varicella-zoster lesions were visible on the left buttock. After beginning valacyclovir for the patient, cystoscopy was done due to the existing polypoid mass in sonography. Red patches, fragile and bleeding places were seen in the cystoscopy on the left bladder wall without any evidence of any mass. This patient was managed conservatively. One week after the first ultrasonography, new sonography by the same radiologist showed no evidence of bladder mass.
Highlights
Herpes zoster is a blistering and painful rash caused by the reactivation of a varicella-zoster virus (VZV) involved in unilateral neural dermatomes
The clinical examination did not show any positive findings in the genitourinary system, but varicella-zoster lesions were visible on the left buttock
In the United States, the annual incidence of herpes zoster has been estimated to be2 cases per1000 patient years [8]
Summary
Herpes zoster is a blistering and painful rash caused by the reactivation of a varicella-zoster virus (VZV) involved in unilateral neural dermatomes. The most important risk factors for the incidence of herpes zoster are immunosuppression and aging. Some studies defined the incidence of herpes zoster as 3.4 cases per 1,000 persons per year in the United Kingdom [1]. The incidence of herpes zoster increases with advancing age. Most cases of herpes zoster occur in patients over 45 years of age.
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