Roaa Elhaj

Shaqra General Hospital, KSA

Title: A case report of shingles with pregnancy

Abstract

Objective: During pregnancy, several infectious illnesses can manifest. The lack of cellular immunity in the mother can affect the development, clinical manifestation, and progression of several conditions throughout pregnancy. Reactivation of the varicella-zoster virus, also known as herpes zoster or shingles, is one of the rarest illnesses that can affect pregnant women. However, neither the mother nor the child are greatly affected by it. Because of the rare appearance of this infection, we present this case.

Case report: A 31-year-old female G6 P4+ 1 was who presented with severe left-sided abdominal pain and a papular rash. She was diagnosed with shingles at 36 weeks of gestation. Her condition improved after receiving supportive care and an antiviral medication (Acyclovir). She had a successful vaginal delivery two weeks later. A healthy baby was delivered and was examined by the neonatologist.

Discussion: After a varicella-zoster primary infection, the virus may reactivate to cause herpes zoster if it stays latent in the dorsal root ganglia. There is usually no transplacental infection and no viremia, with the exception of generalized herpes zoster. The mother possesses neutralizing antibodies against the varicella zoster virus, which is transferred to the fetus through the placenta. Certain maternal IgG class antibodies are present in newborns, and the varicella-zoster virus typically no longer spreads viremic. Pregnancy-related herpes zoster carries no appreciable dangers for the mother or child. Immunocompetent expectant mothers should treat herpes zoster symptomatically; systemic or topical antiviral medication is not advised.

Conclusions: In contrast to chickenpox, herpes zoster during pregnancy does not raise the risk of congenital abnormalities above the average for that group. To lessen the chance of spreading the varicella-zoster virus to vulnerable pregnant women, those with herpes zoster should cover their lesions.

Biography

Roaa Mohamed Ahmed Elhaj graduated from the University of Khartoum (Sudan) in 2013. After graduating from college, she completed a year-long internship before joining the Sudan Medical Specialization Board's obstetrics and gynecology training program. She earned her clinical MD in obstetrics and gynecology in 2020. Then she spent a year working as a specialist at Omdurman Maternity Hospital. Then after, she has been working in Saudi Arabia for the past three years. She completed the full MRCOG in 2023 and has full registration with the General Medical Council. She is interested in medical education and enrolled at Warwick University to pursue a master's degree in medical education. She is also interested in research and has many publications.

2nd International Conference on Gynecology and Obstetrics

Roaa Elhaj

Title: A case report of shingles with pregnancy

Abstract

Biography

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