1887
Volume 2022, Issue 3
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

ملخص

Introduction: Severe acute respiratory syndrome-coronavirus 2 (SARSCoV2) pandemic has been an unceasing plight with a wide range of clinical presentations. The direct effects of the virus, increased use of medications, and lifestyle changes have contributed to the vulnerability to co-infections. Fungal and bacterial co-infections led to increased morbidity and mortality during the pandemic. Similarly, the surge of skin signs in conjunction with herpes zoster (HZ) manifestations has been reported. In this study, we pooled the data on the clinical characteristics of SARS-CoV-2 patients co-infected with HZ.

Methodology: Electronic databases including PubMed, Scopus, and Google Scholar were extensively searched to identify the relevant studies on HZ infection among the SARS-CoV-2 patients.

Results: A total of 79 patients (from case reports, series, and retrospective studies) were included in the analysis. Fever was the most common constitutional symptom recorded, followed by cough and dyspnea. A systemic rash was reported in 78.5% of cases with mild symptoms of HZ and SARS-CoV-2 in 87% and 76%, respectively. Only 19% of the cases presented during the prodrome period of SARS-CoV-2. HZV polymerase chain reaction (PCR) was positive in 8.9% of the cases, and the remaining were diagnosed clinically. SARS-CoV-2 PCR was reported positive in 65 cases (82.3%). Leukopenia was observed in 7 cases (8.9%) and lymphopenia in 25 (31.6%). All patients recovered through conservative treatment.

Conclusion: SARS-CoV-2 escalated the incidence of HZ reactivation. Most of the patients were seen with older individuals either simultaneously or a few days after the SARS-CoV-2 infection, but a few cases were reported during the asymptomatic prodrome period of SARS-CoV-2

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References

  1. WHO. Weekly operational update on COVID-19 - 15 February 2022 2022 [updated 15 February 2022. Available from: https://www.who.int/publications/m/item/weekly-operational-update-on-covid-19–-15-february-2022. 1st May, 2022
  2. Johnson KD, Harris C, Cain JK, Hummer C, Goyal H, Perisetti A. Pulmonary and Extra-Pulmonary Clinical Manifestations of COVID-19. Front Med (Lausanne). 2020;7:526.
    [Google الباحث العلمي]
  3. Ng SL, Ong YS, Khaw KY, Teh SP, Tan CS, Ming LC et al.  Focused Review: Potential Rare and Atypical Symptoms as Indicator for Targeted COVID-19 Screening. Medicina (Kaunas). 2021; 57:(2).
    [Google الباحث العلمي]
  4. Daneshgaran G, Dubin DP, Gould DJ. Cutaneous Manifestations of COVID-19: An Evidence-Based Review. American journal of clinical dermatology. 2020; 21:(5):62739.
    [Google الباحث العلمي]
  5. Singh H, Kaur H, Singh K, Sen CK. Cutaneous Manifestations of COVID-19: A Systematic Review. Advances in wound care. 2021; 10:(2):5180.
    [Google الباحث العلمي]
  6. Tavakolpour S, Rakhshandehroo T, Wei EX, Rashidian M. Lymphopenia during the COVID-19 infection: What it shows and what can be learned. 2020. p. 312.
    [Google الباحث العلمي]
  7. Terpos E, Ntanasis-Stathopoulos I, Elalamy I, Kastritis E, Sergentanis TN, Politou M et al.  Hematological findings and complications of COVID-19. American journal of hematology. 2020; 95:(7):83447.
    [Google الباحث العلمي]
  8. Oh KH, Lee SH. COVID-19 and Fungal Diseases. Antibiotics (Basel). 2022; 11:(6).
    [Google الباحث العلمي]
  9. Gallardo-ZapataJ, Maldonado-Bernal C. Natural killer cell exhaustion in SARS-CoV-2 infection. Innate Immun. 2022:17534259221077750.
    [Google الباحث العلمي]
  10. Katz J, Yue S, Xue W. Herpes simplex and herpes zoster viruses in COVID-19 patients. Ir J Med Sci. 2021:15.
    [Google الباحث العلمي]
  11. Wang F, Nie J, Wang H, Zhao Q, Xiong Y, Deng L et al.  Characteristics of Peripheral Lymphocyte Subset Alteration in COVID-19 Pneumonia. The Journal of infectious diseases. 2020; 221:(11):17629.
    [Google الباحث العلمي]
  12. Dhabhar FS. Enhancing versus suppressive effects of stress on immune function: implications for immunoprotection and immunopathology. Neuroimmunomodulation. 2009; 16:(5):30017.
    [Google الباحث العلمي]
  13. Thakur M, Datusalia AK, Kumar A. Use of steroids in COVID-19 patients: A meta-analysis. European Journal of Pharmacology. 2022;914:174579.
    [Google الباحث العلمي]
  14. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009; 6:(7):e1000097.
    [Google الباحث العلمي]
  15. Moola S, Munn Z, Tufanaru C, Aromataris E, Sears K, Sfetcu R et al.  Systematic reviews of etiology and risk. In: Aromataris E, Z M, editors. JBI Manual for Evidence Synthesis. USA2020.
    [Google الباحث العلمي]
  16. Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J. Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg. 2003; 73:(9):7126.
    [Google الباحث العلمي]
  17. Silva DL, Lima CM, Magalhães VCR, Baltazar LM, Peres NTA, Caligiorne RB et al.  Fungal and bacterial coinfections increase mortality of severely ill COVID-19 patients. Journal of Hospital Infection. 2021;113:14554.
    [Google الباحث العلمي]
  18. Llamas-Velasco M, Rodríguez-Jiménez P, Chicharro P, De Argila D, Muñoz-Hernández P, Daudén E. Reply to “Varicella-like exanthem as a specific COVID-19-associated skin manifestation: Multicenter case series of 22 patients”: To consider varicella-like exanthem associated with COVID-19, virus varicella zoster and virus herpes simplex must be ruled o. 2020. p. e253e4.
    [Google الباحث العلمي]
  19. Kawai K, Yawn BP, Wollan P, Harpaz R. Increasing Incidence of Herpes Zoster Over a 60-year Period From a Population-based Study. Clin Infect Dis. 2016; 63:(2):2216.
    [Google الباحث العلمي]
  20. Schröder C, Enders D , Schink T, Riedel O. Incidence of herpes zoster amongst adults varies by severity of immunosuppression. The Journal of infection. 2017; 75:(3):20715.
    [Google الباحث العلمي]
  21. Saati A, Al-Husayni F, Malibari AA, Bogari AA, Alharbi M. Herpes Zoster Co-Infection in an Immunocompetent Patient With COVID-19. Cureus. 2020; 12:(7):e8998e.
    [Google الباحث العلمي]
  22. Maia CMF, Marques NP, de Lucena EHG, de Rezende LF, Martelli DRB, Martelli-Júnior H. Increased number of Herpes Zoster cases in Brazil related to the COVID-19 pandemic. International journal of infectious diseases: IJID: official publication of the International Society for Infectious Diseases. 2021;104:7323.
    [Google الباحث العلمي]
  23. Marra F, Parhar K, Huang B, Vadlamudi N. Risk Factors for Herpes Zoster Infection: A Meta-Analysis. Open forum infectious diseases. 2020; 7:(1):ofaa005ofaa.
    [Google الباحث العلمي]
  24. Ferreira ACADF, Romão TT, Macedo YS, Pupe C, Nascimento OJM. COVID-19 and herpes zoster co-infection presenting with trigeminal neuropathy. European Journal of Neurology. 2020; 27:(9):174850.
    [Google الباحث العلمي]
  25. Gershon AA, Gershon MD, Breuer J, Levin MJ, Oaklander AL, Griffiths PD. Advances in the understanding of the pathogenesis and epidemiology of herpes zoster. Journal of clinical virology: the official publication of the Pan American Society for Clinical Virology. 2010; 48: Suppl 1(Suppl 1):S27.
    [Google الباحث العلمي]
  26. Kennedy JJ, Steain M, Slobedman B, Abendroth A. Infection and Functional Modulation of Human Monocytes and Macrophages by Varicella-Zoster Virus. Journal of virology. 2019; 93:(3).
    [Google الباحث العلمي]
  27. Debuc B, Smadja DM. Is COVID-19 a New Hematologic Disease? Stem cell reviews and reports. 2021; 17:(1):48.
    [Google الباحث العلمي]
  28. Goyal S, Prabhu S, Shashikiran U, Pai SB, Mohammed A. Cutaneous manifestations of COVID-19 in skin of color: a firsthand perspective of three cases in a tertiary care center in India. Postgraduate Medicine. 2021; 133:(3):3079.
    [Google الباحث العلمي]
  29. Tartari F, Spadotto A, Zengarini C, Zanoni R, Guglielmo A, Adorno A et al.  Herpes zoster in COVID-19-positive patients. International Journal of Dermatology. 2020; 59:(8):10289.
    [Google الباحث العلمي]
  30. Xiang Q, Feng Z, Diao B, Tu C, Qiao Q, Yang H et al.  SARS-CoV-2 Induces Lymphocytopenia by Promoting Inflammation and Decimates Secondary Lymphoid Organs. Front Immunol. 2021;12:661052.
    [Google الباحث العلمي]
  31. Li T, Qiu Z, Zhang L, Han Y, He W, Liu Z, et al. Significant changes of peripheral T lymphocyte subsets in patients with severe acute respiratory syndrome. J Infect Dis. 2004; 189:(4):64851.
    [Google الباحث العلمي]
  32. Ghizlane EA, Manal M, Abderrahim EK, Abdelilah E, Mohammed M, Rajae A et al.  Lymphopenia in Covid-19: A single center retrospective study of 589 cases. Ann Med Surg (Lond). 2021;69:102816.
    [Google الباحث العلمي]
  33. Zheng M, Gao Y, Wang G, Song G, Liu S, Sun D et al.  Functional exhaustion of antiviral lymphocytes in COVID-19 patients. 2020. p. 5335.
    [Google الباحث العلمي]
  34. Welliver RC. Respiratory syncytial virus and other respiratory viruses. The Pediatric infectious disease journal. 2003; 22:(2 Suppl):S6-10; discussion S-2.
    [Google الباحث العلمي]
  35. Heitzman J. Impact of COVID-19 pandemic on mental health. Psychiatria polska. 2020; 54:(2):18798.
    [Google الباحث العلمي]
  36. Pona A, Jiwani RA, Afriyie F, Labbe J, Cook PP, Mao Y. Herpes zoster as a potential complication of coronavirus disease 2019. Dermatologic Therapy. 2020; 33:(6).
    [Google الباحث العلمي]
  37. Ozamiz-Etxebarria N, Dosil-Santamaria M, Picaza-Gorrochategui M, Idoiaga-Mondragon N. Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain. Cadernos de saude publica. 2020; 36:(4):e00054020-e.
    [Google الباحث العلمي]
  38. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet (London, England). 2020; 395:(10227):91220.
    [Google الباحث العلمي]
  39. Eisenberger NI, Inagaki TK, Mashal NM, Irwin MR. Inflammation and social experience: an inflammatory challenge induces feelings of social disconnection in addition to depressed mood. Brain, behavior, and immunity. 2010; 24:(4):55863.
    [Google الباحث العلمي]
  40. Elsaie ML, Youssef EA, Nada HA. Herpes zoster might be an indicator for latent COVID 19 infection. Dermatologic Therapy. 2020; 33:(4).
    [Google الباحث العلمي]
  41. Altaf I. Herpes zoster coinfection and the current COVID-19 pandemic. Saudi Critical Care Journal. 2020; 4:(4):130.
    [Google الباحث العلمي]
  42. Altaf I. Herpes Zoster Co-Infection with COVID-19: A Case Series. Bali J Anesthesiol. 2021; 5:(3):1957.
    [Google الباحث العلمي]
  43. Karimi A, Tabatabaei SR, Khalili M, Sadr S, Alibeik M, Omidmalayeri S et al.  COVID-19 and chickenpox as a viral co-infection in a 12-year-old patient, a case report. Arch Pediatr Infect Dis. 2020; 8:(3):14.
    [Google الباحث العلمي]
  44. Antonescu F, Butnariu I, Cojocaru FM, Anghel DN, Mihai ED, Tuţă S. Zoster cranial polyneuropathy in a COVID-19 patient. American Journal of Case Reports. 2021; 22:(1).
    [Google الباحث العلمي]
  45. Patel P, Undavia A, Choudry R, Zhang Y, Prabhu AM. COVID-19 Associated With Concomitant Varicella Zoster Viral Encephalitis. Neurology Clinical Practice. 2021; 11:(2):e219e21.
    [Google الباحث العلمي]
  46. Jiang M, Guo Y, Luo Q, Huang Z, Zhao R, Liu S et al.  T-Cell Subset Counts in Peripheral Blood Can Be Used as Discriminatory Biomarkers for Diagnosis and Severity Prediction of Coronavirus Disease 2019. The Journal of infectious diseases. 2020; 222:(2):198202.
    [Google الباحث العلمي]
  47. Solanki K, Kohm K, Bhatt PJ. Disseminated Herpes Zoster Virus in a patient with COVID-19. Consultant. 2021; 61:(12):811.
    [Google الباحث العلمي]
  48. Russell CD, Millar JE, Baillie JK. Clinical evidence does not support corticosteroid treatment for 2019-nCoV lung injury. Lancet (London, England). 2020; 395:(10223):4735.
    [Google الباحث العلمي]
  49. Rees EM, Nightingale ES, Jafari Y, Waterlow NR, Clifford S, B Pearson CA et al. COVID-19 length of hospital stay: a systematic review and data synthesis. BMC medicine. 2020; 18:(1):270.
    [Google الباحث العلمي]
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  • نوع المستند: Review Article
الموضوعات الرئيسية CoronavirusCOVID-19Herpes zosterSARS-CoV-2Varicella zoster virusvesicular rash and virus reactivation

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