Herpes Zoster in the Older Adult

• Autores: Amrita R. John, David H. Canaday
• Localización: Infectious disease clinics of North America, ISSN 0891-5520, Vol. 31, Nº. 4, 2017 (Ejemplar dedicado a: Infections in Older Adults), págs. 811-826
• Idioma: inglés
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• Resumen

  • Herpes zoster (HZ) is the result of reactivation of latent varicella zoster virus (VZV) and occurs most frequently in older adults. Classically, HZ presents as a unilateral, selflimited, dermatomal rash. Postherpetic neuralgia (PHN) is a common sequela, presenting as severe pain that persists after the rash has resolved. In the elderly, PHN can be debilitating and requires a prompt diagnosis, treatment with antivirals, and adequate pain control. A longer-term pain management strategy is required if PHN occurs. A modestly effective vaccine exists and is recommended for older individuals.