Sacral herpes-zoster infection presenting as sciatic pain

Jacob Ablin, Zvi Symon, Dror Mevorach

Research output: Contribution to journalArticlepeer-review


Acute herpes-zoster infection is a painful dermatomal lesion that can be manifested by a wide array of neurologic symptoms. We present a 55-year-old female with non-Hodgkin's lymphoma, who developed a left sciatic pain involving the S2-4 roots. Two weeks later, the patient developed fever and vesicular rash over the left gluteal area. Herpes-zoster infection was diagnosed and confirmed by the presence of immunoglobulin M (IgM) antibodies against varicella-zoster. The pain and rash resolved, after treatment with acyclovir. In the appropriate clinical setting, sacral herpes-zoster infection ought to be considered in the differential diagnosis of new-onset sciatic pain.

Original languageEnglish
Pages (from-to)167-168
Number of pages2
JournalJournal of Clinical Rheumatology
Issue number3
StatePublished - Jun 1996
Externally publishedYes


  • Herpes-zoster
  • Sciatic pain


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