An unusual complication after interventional cardiology reveals and infrequent condition: Idiopathic CD4 deficiency

• Main Authors: Alberto Fica, Fernando Verdugo, María V. Landaeta, Alfredo Flores, Ingmar Roessler
• Format: Article
• Language: English
• Published: Elsevier 2016-07-01
• Series: Journal of Infection and Public Health
• Online Access: http://www.sciencedirect.com/science/article/pii/S1876034115002257

Summary: Herpes zoster (HZ) is of rare occurrence after interventional procedures with few events reported until now. A 74 year-old man with a past medical history of idiopathic thrombocytopenic purpura, splenectomy, autoimmune hemolytic anemia, and polymyalgia rheumatica developed HZ on the right median nerve 7 days after he underwent a coronariography for managing an acute coronary syndrome. He evolved with cutaneous dissemination and required intravenous acyclovir therapy. Laboratory evaluation disclosed a previously unknown idiophatic CD4 lymphocytopenia. HZ should be added to the list of complications after interventional cardiology and associated immunosuppressive factors ruled out. Keywords: Herpes zoster, Esophageal candidiasis, Coronary angiography, Percutaneous coronary intervention, Idiophatic CD4 T-lymphocytopenia