Study of Epidemiological - Clinical Aspects, and Complications of Herpes Zoster in adults, in Albania

Herpes Zoster is the reactivation of the Varicella Zoster Virus in adults in terms of decreasing of immunity as a result of various causes. The virus lies dormant in the roots of the dorsal ganglia spinal cord for years after the expiration of the primary infection in the form of chickenpox in childhood. Although in most cases passes as a limited self rash accompanied by pain, in some cases shingles can make heavy evolutions, even serious complications. This study offers an overview of epidemiological, clinical and complications of Herpes Zoster in adults hospitalized in infectious service, UHC Mother Teresa, during the period January 2009 - December 2013. Were taken in study 90 cases from 15 - 90 years old. We classified them based on epidemiology, gender distribution predominantly women of 53 %, average age of the subjects affected at the time of diagnosis was 54.9 14.9, residence, rural or urban area, distribution by years where in 2010 with 38.8 %. according to the immune status dominated immunocompetents 62.3 %. According to clinical data, constitute the main weight pre herpetic pain 77 %, the prodromal signs temperature ranged in values 37.9 C 0.8. Based on the type of vesicles, 68.8 % simple, with frequent dissemination in the thoracic area of 39 %, followed by those in the region of the head and less lumbar - sacral. PHN as dominant complication in 44 % of cases, followed by meningitis, keratitis and encephalitis. The initial assessment should indicate the possibility of atypical manifestations. After initial treatment, further care directed towards the occurrence of complications. Pain relief should be the primary concern.