Herpes zoster in the pediatric age group: study from a tertiary care hospital


  • Audil M. Lanker Department of Paediatrics, SKIMS Medical College Hospital, Bemina, J & K, India
  • Shazia Jeelani Department of Dermatology, SKIMS Medical College Hospital, Bemina, J & K, India
  • Nasir Jeelani SKIMS Medical College Hospital, Bemina, J & K, India




Herpes zoster, Children, Immunocompetent


Background: Herpes zoster (HZ) caused by Varicella zoster virus (VZV) is uncommon in childhood.

Methods: During a period of one year all the children with HZ coming to the Departments of Pediatrics and Dermatology from a tertiary hospital were enrolled in the study. Various parameters like demographic details, history of vaccination against VZV, site of involvement and associated complications were noted down.

Results: HZ in children is very rare. Only 19 cases were reported from a tertiary care institute. It is more common in older children (one case <5 yrs). Most common site is thoracic (55%) segmental involvement. Complications (26.3%) are rare in children as compared to elderly.

Conclusions: Paediatric herpes zoster although uncommon can develop in immunocompetent children and should be considered in the differential diagnosis of vesicular eruptions in children. Proper treatment reduces the course as well as complications in the children.


Dworkin RH, Johnson RW, Breuer J, Gnann JW, et al. Recommendations for the management of herpes zoster. Clin Infect Dis. 2007;44 Suppl 1:S1-26.

Nagasako EM, Johnson RW, Griffin DR, Elpern DJ, Dworkin RH. Geographic and racial aspects of herpes zoster. J Med Virol. 2003;70 Suppl 1:S20.

Lyons F, ‎Ousley LE. Common dermatological conditions. Dermatology for the Advanced Practice Nurse. Springer publishing house. 2014;184.

Gnann JW, Whitley RJ. Herpes zoster. N Engl J Med. 2002;347:340-6.

Wurzel CL, Kahan J, Heitler M, Rubin LG. Prognosis of herpes zoster in healthy children. Am J Dis Child. 1986;140:477-8.

Kurlan JG, Connelly BL, Lucky AW. Herpes zoster in the first year of life following postnatal exposure to Varicella-zoster virus: Four case reports and a review of infantile herpes zoster. Arch Dermatol. 2004;140:1268-72.

Teran CG, Villarroel P, Teran-Escalera CN. . Herpes zoster in healthy children Int J Infect Dis. 2008;26(6):e159-60.

Kakourou T, Theodoridou M, Mostrou G, Syriopoulou V, Papadogeorgaki H, Constantopoulos A. Herpes zoster in children. J Am Acad Dermatol. 1998;39(2 pt 1):207-10

Petursson G, Helgason S, Gudmundsson S, Sigurdsson JA. Herpes zoster in children and adolescents. Pediatr Infect Dis J. 1998;17(10):905-8.

Wootton SH, Law B, Tan B, Mozel M, Scheifele DW, Halperin S. IMPACT Investigators. The epidemiology of children hospitalized with herpes zoster in Canada: Immunization Monitoring Program, Active (IMPACT), 1991-2005. Pediatr Infect Dis J. 2008;27(2):112-8.

Grote V, von Kries R, Rosenfeld E, Belohradsky BH, Liese J. Immunocompetent children account for the majority of complications in childhood herpes zoster. J Infect Dis. 2007;196(10):1455-8.

Wen SY, Liu WL. Epidemiology of pediatric herpes zoster after varicella infection: a population-based study. Pediatrics. 2015;135(3):e565-71.

Guess HA, Broughton DD, Melton LJ, Kurland LT. Epidemiology of herpes-zoster in children and adolescents—a population-based study. Pediatrics. 1985;76:512-7.

Hope-Simpson RE. The nature of herpes zoster: a long-term study and a new hypothesis. Proc R Soc Med. 1965;58:9-20

Iyer S1, Mittal MK, Hodinka RL. Herpes zoster and meningitis resulting from reactivation of varicella vaccine virus in an immunocompetent child. Ann Emerg Med. 2009;53(6):792-5.

Teran CG, Villarroel P, Teran-Escalera CN. Herpes zoster in healthy children. Int J Infect Dis. 2008;12(6):e159-60.

Wood SM1, Shah SS, Steenhoff AP, Rutstein RM. Primary varicella and herpes zoster among HIV-infected children from 1989 to 2006. Pediatrics. 2008;121(1):e150-6.

Rogers RS 3rd, Tindall JP. Herpes zoster in children. Arch Dermatol. 1972;106:204-7.

Oxman MN. Clinical manifestations of herpes zoster. In: Arvin AM, Gershon AA, editors. Varicella-zoster virus: virology and clinical management. Cambridge: Cambridge University. 2000;246-75.

Opstelten W, Zaal MJ. Managing ophthalmic herpes zoster in primary care. BMJ. 2005;331:147-51.

Cobo LM, Foulks GN, Liesegang T, et al. Oral acyclovir in the treatment of acute herpes zoster ophthalmicus. Ophthalmology. 1986;93:763-70.






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