Page 269 - Abstract Book KONIKA 18

Infection & Tropical Disease

P-ITD-029
Herpes zoster infection in HIV patient: A Case Report

Kezia Berlian Kusuma, Mulya Rahma Karyanti
Department of Child Health, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo Hospital,
Jakarta, Indonesia
Abstract
Background The reactivation of varicella-zoster virus (VZV) infection may occur during the course of human
immunodeficiency virus (HIV) infection. Post-herpetic neuralgia and multiple vesiculobullous lesions have
been described in HIV-infected patients with herpes zoster. Objective To report a case of an HIV- infected
patient who developed herpes zoster. Case A 2-year-old girl was diagnosed with HIV since 7 months old and
in anti-retroviral (ARV) since 1 year old. The patients was in fixed drug combination (FDC) of antiretroviral
one and half tablet per day. She first came to emergency room presented with vesicles on the right tight and
pain. She was treated with oral acyclovir 200 mg/6 hours and had been discharge on the second day. Three
days later she came to Infection polyclinic with erythematous vesiculobullous, crusted and widespread
lesion on right tight. She also complained of neuritic pain and no fever presented. Laboratory tests showed
normal blood count with slightly anemia (hemoglobin 9.9 g/dL). A CD4+ T lymphocytes count of 19 cells/
mm (1%). She was treated with intravenous acyclovir 200 mg/8 hour for 7 days. On the fifth day, the lesion
got better and pain also resolved. Conclusion Intravenous acyclovir is first line treatment for herpes zoster
in HIV patient.
Keywords: herpes zoster; HIV; acyclovir

KONIKA XVIII Abstract Book 221