Herpes zoster, complicated with thoracic wall phlegmon in a patient with HIV-infection: a case report

Abstract

Herpes zoster is often associated with HIV infection. The article presents a clinical case of herpes zoster, complicated by the thoracic wall phlegmon in a 41-year-old male infected with HIV. Dissection and debridement of the phlegmon were performed. Antibacterial and pain relief therapy, start of antiretroviral therapy and treatment of the concomitant diseases were carried out. The residual thoracic wall skin and soft tissue defect on the site of the phlegmon was healed with surgery.Conclusions. Secondary manifestations of HIV infection present with the diversity of symptoms and severe clinical performance. Herpes zoster may be complicated with the purulent inflammation of surrounding tissue in the patients with HIV-infection. A multidisciplinary approach to the diagnosis and treatment of such patients is required.