Disseminated Herpes Zoster Presenting as Ogilvie Syndrome with Associated Pneumonia and Hepatitis in a Newly Diagnosed HIV Positive Male

Abstract

Varicella zoster virus (VZV) causes primary infection with varicella (chickenpox) a self-limiting diffuse vesicular rash and establishes latency in dorsal root ganglia. Reactivation of VZV results in a dermatomal vesicular rash known as herpes zoster. In the immunocompromised population, herpes zoster can develop into disseminated disease involving the sensory, peripheral and enteric nervous systems and be associated with extracutaneous manifestations. In this case report, we describe a HIV infected male presenting with Ogilvie syndrome in presence of disseminated herpes zoster with associated pneumonia and hepatitis.