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Neurological picture
Herpes zoster duplex bilateralis
  1. Asaf Peretz1,
  2. Johannes Nowatzky1,
  3. Israel Steiner2
  1. 1Department of Internal Medicine, Hadassah University Hospital Mount Scopus, Jerusalem, Israel
  2. 2Neurological Sciences Unit, Hadassah University Hospital Mount Scopus, Jerusalem, Israel
  1. Correspondence to:
 Dr Asaf Peretz
 Department of Internal Medicine, Hadassah University Hospital Mount Scopus, Jerusalem 91240, Israel; asafp{at}bgu.ac.il

https://doi.org/10.1136/jnnp.2006.114116

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    Herpes zoster (HZ), caused by reactivation of varicella zoster virus (VZV) from latency in a sensory ganglion, is almost always a condition involving a single dermatome.1,2 Usually it occurs because of an age related decline in cellular immunity or immune compromised conditions. When spreading, it might involve one or two adjacent dermatomes or disseminate systemically (disseminated HZ).3 The simultaneous reactivation of VZV from more than one ganglion is an extremely rare condition.4

    Case report

    A 64-year-old Arab woman was hospitalised with generalised weakness, urinary tract infection and a vesicular eruption on her back and thigh.

    Four months …

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    Footnotes

    • Informed consent was obtained for publication of figs 1 and 2.