Dialysis-requiring acute kidney injury and electrolyte imbalances as a result of prodromal herpes zoster in a kidney transplant recipient

Abstract

To the Editor, Herpes zoster (HZ) is a cutaneous viral infection caused by the reactivation of latent varicella-zoster virus (VZV) in the dorsal root ganglia.1 Immunosuppressed patients, kidney transplant recipients, and chronic kidney disease (CKD) patients are at high risk for de-veloping HZ infection.2,3 The typical clinical manifestation of HZ is an acute unilateral eruption of herpetiform vesicles in a localized dermatomal area associated with pain.4 However, two to five days before the rash, in prodromal phase, there may be only local neuro-pathic pain in the affected dermatome.