Introduction: Herpes zoster (HZ) is a relatively common infectious disease caused by the reactivation of the varicella zoster virus (VZV) in the cranial nerves and in the dorsal spinal root ganglia. ...Although prevalence has increased in recent years and despite the high morbidity, there are still few epidemiological studies on the disease. Objective: To know and to analyze the clinical profile of hospitalized patients by HZ. Materials and methods: All patients' records of HZ hospitalizations were analyzed between 2009 and 2015 in an Infectious Diseases Service of a University Hospital, observing aspects such as gender, age, length of hospital stay and possible intercurrences. Results: Of the total sample, 50.0% were female and 50.0% were male; the most affected age group was up to 20 years old, represented by 33.33% of the patients, with 56.6% of the lesions manifested in the face. The majority of them, 48.89%, were hospitalized between 1 and 2 weeks, and the main complications were secondary infections, present in 40% of the patients. There was no predilection for sex; the majority of whom were young or elderly adults, hospitalized between 1 and 2 weeks, having as main intercurrence secondary infections. Conclusions: The morbidities that this infection brings to individuals, the burden of prolonged hospitalizations and the costs to the health system are reaffirmed, thus making clear the need for effective strategies for disease prevention and support to the affected. Keywords: Herpes zoster; Herpesviridae; Hospitalization. Introducao: Herpes zoster (HZ) e uma doenca infecciosa relativamente comum causada pela reativacao do virus varicela zoster (VVZ) nos nervos cranianos e nos ganglios das raizes espinhais dorsais. Apesar de um aumento na prevalencia nos ultimos anos e da elevada morbidade, ainda ha poucos estudos epidemiologicos sobre a doenca. Objetivo: Conhecer e analisar o perfil clinico dos hospitalizados por HZ. Materiais e metodos: Foram analisados todos os prontuarios dos internados por HZ, entre 2009 e 2015, em um Servico de Doencas Infectocontagiosas de um Hospital Universitario, observando aspectos como sexo, idade, tempo de internacao e possiveis intercorrencias. Resultados: Do total da amostra, 50% eram do sexo feminino; a faixa etaria mais acometida foi de ate 20 anos, representada por 33,33% dos pacientes, e o local da manifestacao das lesoes foi na face em 56,6% dos casos. A maioria (48,89%) ficou hospitalizada entre 1 e 2 semanas, tendo como principais intercorrencias as infeccoes secundarias, presentes em 40% dos pacientes. Conclusoes: Reafirma-se as morbidades que essa infeccao traz para os individuos, onus das prolongadas internacoes e os custos para o sistema de saude, evidenciando-se a necessidade de estrategias eficazes de prevencao da doenca e suporte aos acometidos. Descritores: Herpes zoster; Herpesviridae; Hospitalizacao. Introduccion: Herpes zoster (HZ) es una enfermedad infecciosa relativamente comun causada por la reactivacion del virus varicela zoster (VVZ) en los nervios craneales y en los ganglios de las raices espinales dorsales. Aunque la prevalencia ha crecido en los ultimos anos y a pesar de la alta morbilidad, todavia hay pocos estudios epidemiologicos sobre la enfermedad. Objetivo: Conocer y analizar el perfil clinico de los hospitalizados por HZ. Material y metodos: Se analizaron todos los prontuarios de los internados por HZ, entre 2009 y 2015, en un Servicio de Enfermedades Infectocontagiosas de un Hospital Universitario, observando aspectos como sexo, edad, tiempo de internacion y posibles intercurrencias. Resultados: El 50,0% eran del sexo femenino y el 50,0% del sexo masculino; el grupo de edad mas acometida fue de hasta los 20 anos, representada por el 33,33% de los pacientes, siendo 56,6% de las lesiones manifestadas en la cara. La mayoria, 48,89%, quedo hospitalizada entre 1 y 2 semanas, teniendo como principales intercurrencias las infecciones secundarias, presentes en el 40% de los pacientes. No hubo predileccion por sexo; la mayoria eran adultos jovenes o ancianos, y que quedaron internados entre 1 y 2 semanas, teniendo como principal intercurrencia las infecciones secundarias. Conclusiones: Se reafirma, asi, las morbilidades que esta infeccion trae para los individuos, la carga de las prolongadas internaciones y los costos para el sistema de salud, tornandose clara la necesidad de estrategias eficaces de prevencion de la enfermedad y soporte a los acometidos. Palabras clave: Herpes zoster; Herpesviridae; Hospitalizacion.
Intranasal schwannomas are rare lesions, specially when they present with an intracranial extension. The fifth case in the medical literature of a naso-ethmoid schwannoma with extension into the ...anterior cranial fossa is presented. The magnetic resonance findings and the details of the combined intracranial / transfacial operative approach used are described. The possible origin and the clinical characteristics of this rare lesion are reviewed.
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