Acute urinary retention and constipation precipitated by herpes zoster infection

BMJ Case Rep. 2017 May 12:2017:bcr2017220068. doi: 10.1136/bcr-2017-220068.

Abstract

A 76-year-old man presented to the emergency department complaining of acute urinary retention (AUR) and severe constipation. His recent medical history included 4 days of treatment in the community for gluteal herpes zoster with famciclovir. A transurethral catheter was passed and the patient completed a full course of famciclovir with resolution of constipation. The patient's catheter was successfully removed 3 weeks after his presentation. We report on the clinical presentation and management of an unusual case of AUR and constipation caused by a zoster viral infection of the S2-S4 dermatome.

Keywords: Catheterisation / catheter care; Dermatology; Urinary and genital tract disorders.

Publication types

  • Case Reports

MeSH terms

  • 2-Aminopurine / analogs & derivatives*
  • 2-Aminopurine / therapeutic use
  • Aged
  • Antiviral Agents / therapeutic use*
  • Constipation / etiology
  • Diagnosis, Differential
  • Famciclovir
  • Herpes Zoster / complications
  • Herpes Zoster / diagnosis*
  • Herpes Zoster / drug therapy
  • Humans
  • Male
  • Urinary Retention / etiology

Substances

  • Antiviral Agents
  • 2-Aminopurine
  • Famciclovir