{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:40:03Z","timestamp":1756363203469,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,6,1]]},"abstract":"<jats:p>Herpes zoster, caused by varicella zoster virus (VZV) reactivation, affects mainly the adult population, although it can occur in children. This happens when primary infection (varicella) has occurred at a very young age or in immunocompromised patients. Complications are rare in healthy individuals. They include VZV cutaneous dissemination, which affects 2%\u201310% of immunocompromised patients.<\/jats:p>\n               <jats:p>We present a previously healthy child, with history of varicella during her first month of life, which presented at age 8 with a severe case of herpes zoster, complicated with cutaneous dissemination. Immunity study was unremarkable. Causes, management and follow-up are discussed.<\/jats:p>","DOI":"10.1136\/bcr-2018-225355","type":"journal-article","created":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T09:15:20Z","timestamp":1528794920000},"page":"bcr-2018-225355","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Herpes zoster with cutaneous dissemination: a rare presentation of an uncommon pathology in children"],"prefix":"10.1136","volume":"2018","author":[{"given":"Catarina","family":"Faria","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Antunes","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henedina","family":"Antunes","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Hospital de Braga, Braga, Portugal"},{"name":"Life and Health Sciences Research Institute (ICVS), School of Health Sciences; ICVS\/3B\u2019s\u2014PT Government Associate Laboratory, Universidade do Minho, Braga\/Guimar\u00e3es, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susana","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,12]]},"reference":[{"key":"2025082723225093000_2018.jun11_2.bcr-2018-225355.1","unstructured":"Albrecht M . 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[UpToDate web site] https:\/\/www.uptodate.com\/contents\/epidemiology-and-pathogenesis-of-varicella-zoster-virus-infection-herpes-zoster (accessed 20 Nov 2017)."},{"key":"2025082723225093000_2018.jun11_2.bcr-2018-225355.4","first-page":"353","article-title":"Herpes zoster with dissemination","volume":"43","author":"Singal","year":"2006","journal-title":"Indian Pediatr"},{"key":"2025082723225093000_2018.jun11_2.bcr-2018-225355.5","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1097\/01.inf.0000057439.70183.c1","article-title":"herpes zoster and dissemination","volume":"22","author":"Thami","year":"2003","journal-title":"Pediatr Infect Dis J"},{"key":"2025082723225093000_2018.jun11_2.bcr-2018-225355.6","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1086\/510206","article-title":"Recommendations for the management of herpes zoster","volume":"44 Suppl 1","author":"Dworkin","year":"2007","journal-title":"Clin Infect Dis"},{"key":"2025082723225093000_2018.jun11_2.bcr-2018-225355.7","first-page":"114","article-title":"Herpes zoster na crian\u00e7a. Caso cl\u00ednico exuberante com dissemina\u00e7\u00e3o cut\u00e2nea","volume":"42","author":"Roda","year":"2011","journal-title":"Acta Pediatr Port"},{"key":"2025082723225093000_2018.jun11_2.bcr-2018-225355.8","doi-asserted-by":"crossref","first-page":"e16","DOI":"10.4081\/cp.2013.e16","article-title":"Disseminated herpes zoster ophthalmicus in an immunocompetent 8-year old boy","volume":"3","author":"Oladokun","year":"2013","journal-title":"Clin Pract"},{"key":"2025082723225093000_2018.jun11_2.bcr-2018-225355.9","doi-asserted-by":"publisher","DOI":"10.1086\/522631"},{"key":"2025082723225093000_2018.jun11_2.bcr-2018-225355.10","doi-asserted-by":"crossref","first-page":"62","DOI":"10.4103\/0019-5154.48991","article-title":"Childhood herpes zoster: a clustering of ten cases","volume":"54","author":"Prabhu","year":"2009","journal-title":"Indian J Dermatol"},{"key":"2025082723225093000_2018.jun11_2.bcr-2018-225355.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0264-410X(02)00180-9"},{"key":"2025082723225093000_2018.jun11_2.bcr-2018-225355.12","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-159-11-201312030-00006"},{"key":"2025082723225093000_2018.jun11_2.bcr-2018-225355.13","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.140.10.1268"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225355","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:23:01Z","timestamp":1756362181000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225355"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,12]]},"references-count":13,"alternative-id":["10.1136\/bcr-2018-225355"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225355","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,6,12]]}}}