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Case Report of Possible Accidental Inoculation

W. P. Daniel Su, MD; Sigfrid A. Muller, MD

Arch Dermatol. 1976;112(12):1755-1756.

Abstract
• A 30-year-old healthy male physician developed grouped, papulovesicular lesions along the dermatomes of T₁ and T₂ of the left side of his body. The onset occurred two days after he accidentally pricked his right index finger with a needle that had been used to aspirate the acute papulovesicular lesions of a patient with severe herpes zoster. The clinical appearance and dermatomal distribution, the subsequent clinical course, the skin biopsy findings, and the substantial increase in complement-fixing antibody titer to the varicella-zoster (V-Z) virus in the convalescent serum samples are strong evidence for herpes zoster. Although it is generally believed that person-to-person transmission of zoster is rare and that herpes zoster results from the reactivation of a latent varicella virus, the present case suggests that zoster can be acquired from exogenous infection with a V-Z virus, at least in certain circumstances.

(Arch Dermatol 112:1755-1756, 1976)

Author Affiliations
From the Department of Dermatology, Mayo Clinic and Mayo Foundation, Rochester, Minn.

Footnotes
Accepted for publication Nov 19, 1975.

Reprint requests to Section of Publications, Mayo Clinic, 200 First St SW, Rochester, MN 55901 (Dr Su).

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