Zoster generalisatus

Last Updated: 2019-08-26

Author(s): Anzengruber F., Navarini A.

ICD11: -

Herpes zoster infection with > 25 aberating vesicles which are not arranged segmentally. This mainly occurs in immunosuppression.

Herpes zoster without limitation to the dermatomes, often haemorrhagic-necrotic.

  • Clinic.
  • Direct immunofluorescence ("Microtrak")
  • Swab with cotton swab firmly from the bladder base (do not use the swab for PCR).

  • Spread out on microscope slide and apply fixing liquid.

  • PCR
    • Swab with cotton swab firmly from the bottom of the bladder.

    • Put cotton swabs into the virus medium, leave for 15 seconds, then remove swabs. 

Myocarditis, pancreatitis, esophagitis, hepatitis.

Protracted course, sometimes it takes weeks to heal in immunosuppression.

  1. Nakane, S., et al., [A case of herpes zoster encephalitis with Ramsay-Hunt syndrome, herpes zoster generalisatus and acute pancreatitis]. No To Shinkei, 2000. 52(1): p. 43-7.
  2. Enger, S.C., [Varicella-herpes zoster. A case of herpes zoster generalisatus]. Tidsskr Nor Laegeforen, 1961. 81: p. 248-50.
  3. Chelius, C.J., Herpes zoster generalisatus. Wis Med J, 1960. 59: p. 565-9.
  4. Schimpf, A., [Herpes Zoster Generalisatus Varicellosus in Bronchial Asthma]. Arch Klin Exp Dermatol, 1964. 218: p. 339-46.
  5. Floderus, S. and A. Rolander, [Accumulation of cases of herpes zoster generalisatus]. Nord Med, 1959. 62: p. 1414-7.
  6. Leczinsky, C.G., Case of herpes zoster generalisatus. Acta Derm Venereol, 1951. 31(4): p. 486-8.
  7. Netherton, E.W., Leukemic infiltration in scars of herpes zoster generalisatus. Arch Derm Syphilol, 1948. 57(4): p. 782.
  8. Richter, R. and H.O. Johne, [Clinical manifestation of the Sanarelli-Shwartzman phenomenon in dermatology. I. Herpes zoster generalisatus and the Sanarelli-Shwartzman phenomenon]. Z Haut Geschlechtskr, 1950. 8(9): p. 333-42.
  9. Forsius, H., Herpes zoster generalisatus with complications of the eye. Ophthalmologica, 1950. 119(5): p. 285-91.
  10. Lehmann, H., [Herpes zoster varicellosus generalisatus in chronic lymphatic lymphadenitis]. Dermatol Wochenschr, 1966. 152(32): p. 819-23.
  11. Schiller, D., [Herpes zoster generalisatus in diabetes mellitus]. Dtsch Med Wochenschr, 2006. 131(22): p. 1290; author reply 1290.
  12. Norn, M.S., [Zoster ophthalmicus generalisatus]. Ugeskr Laeger, 1959. 121: p. 1199-200.
  13. Tiessen, H.J., [A case of zoster generalisatus in chronic lymphatic leukemia]. Medizinische, 1954. 51: p. 1721-2.