Multidermatomal herpes zoster in an immunocompetent, fully vaccinated 17-year-old female: a case report

Abstract Background Herpes zoster, commonly known as shingles, results from the reactivation of varicella zoster virus, typically occurring in older adults. The advent of varicella vaccination has caused a decline in primary varicella infection cases; however, herpes zoster still occurs, albeit rare...

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Main Authors: Katherine Teixeira, Shannon Williams, Spencer Morton, Amanda Harding
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Journal of Medical Case Reports
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Online Access:https://doi.org/10.1186/s13256-025-05123-3
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author Katherine Teixeira
Shannon Williams
Spencer Morton
Amanda Harding
author_facet Katherine Teixeira
Shannon Williams
Spencer Morton
Amanda Harding
author_sort Katherine Teixeira
collection DOAJ
description Abstract Background Herpes zoster, commonly known as shingles, results from the reactivation of varicella zoster virus, typically occurring in older adults. The advent of varicella vaccination has caused a decline in primary varicella infection cases; however, herpes zoster still occurs, albeit rarely, in fully vaccinated children. Case presentation This report presents a case of herpes zoster in a fully vaccinated 17-year-old white American female, highlighting the importance of considering herpes zoster in immunocompetent, vaccinated children. The patient presented with a rash along multiple dermatomes, which spread despite antiviral treatment. After completion of the antiviral treatment, the rash eventually receded, and she was left with no residual symptoms. Conclusion This case underscores the need for clinicians to recognize and manage uncommon diseases such as herpes zoster in the pediatric population, regardless of vaccination status, to prevent adverse outcomes. Although this patient did not have any residual symptoms, mortality, or morbidity, there could be a high probability for complications if there becomes optical or meningeal involvement.
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spelling doaj-art-df1459a3b0dd4f3fb5fccbb1eb4dd7702025-08-20T03:04:50ZengBMCJournal of Medical Case Reports1752-19472025-04-011911510.1186/s13256-025-05123-3Multidermatomal herpes zoster in an immunocompetent, fully vaccinated 17-year-old female: a case reportKatherine Teixeira0Shannon Williams1Spencer Morton2Amanda HardingRocky Vista UniversityRocky Vista UniversityRocky Vista UniversityAbstract Background Herpes zoster, commonly known as shingles, results from the reactivation of varicella zoster virus, typically occurring in older adults. The advent of varicella vaccination has caused a decline in primary varicella infection cases; however, herpes zoster still occurs, albeit rarely, in fully vaccinated children. Case presentation This report presents a case of herpes zoster in a fully vaccinated 17-year-old white American female, highlighting the importance of considering herpes zoster in immunocompetent, vaccinated children. The patient presented with a rash along multiple dermatomes, which spread despite antiviral treatment. After completion of the antiviral treatment, the rash eventually receded, and she was left with no residual symptoms. Conclusion This case underscores the need for clinicians to recognize and manage uncommon diseases such as herpes zoster in the pediatric population, regardless of vaccination status, to prevent adverse outcomes. Although this patient did not have any residual symptoms, mortality, or morbidity, there could be a high probability for complications if there becomes optical or meningeal involvement.https://doi.org/10.1186/s13256-025-05123-3Herpes ZosterVaricellaVaccinationShinglesChicken pox
spellingShingle Katherine Teixeira
Shannon Williams
Spencer Morton
Amanda Harding
Multidermatomal herpes zoster in an immunocompetent, fully vaccinated 17-year-old female: a case report
Journal of Medical Case Reports
Herpes Zoster
Varicella
Vaccination
Shingles
Chicken pox
title Multidermatomal herpes zoster in an immunocompetent, fully vaccinated 17-year-old female: a case report
title_full Multidermatomal herpes zoster in an immunocompetent, fully vaccinated 17-year-old female: a case report
title_fullStr Multidermatomal herpes zoster in an immunocompetent, fully vaccinated 17-year-old female: a case report
title_full_unstemmed Multidermatomal herpes zoster in an immunocompetent, fully vaccinated 17-year-old female: a case report
title_short Multidermatomal herpes zoster in an immunocompetent, fully vaccinated 17-year-old female: a case report
title_sort multidermatomal herpes zoster in an immunocompetent fully vaccinated 17 year old female a case report
topic Herpes Zoster
Varicella
Vaccination
Shingles
Chicken pox
url https://doi.org/10.1186/s13256-025-05123-3
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AT spencermorton multidermatomalherpeszosterinanimmunocompetentfullyvaccinated17yearoldfemaleacasereport
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