Acute Respiratory Failure with Unilateral Diaphragmatic Paralysis by Herpes Zoster Infection in a Patient with COPD Mai Kodama 1 , Naoko Kurisu 1 , Tomoya Sagawa 1 , Shinsuke Shiotsu 1 , Chieko Takumi 1 , Noriya Hiraoka 1 1Department of Respiratory Medicine, Japanese Red Cross Society Kyoto Daiichi Hospital Keyword: 横隔神経麻痺 , 帯状疱疹 , 慢性閉塞性肺疾患 , diaphragmatic paralysis , herpes zoster , chronic obstructive pulmonary disease pp.792-795
Published Date 2015/8/15
DOI https://doi.org/10.11477/mf.1404205769
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 An 86-year-old man developed dyspnea and was transferred to our hospital by ambulance. On arrival he was hypoxic, and chest X-ray showed an elevation of right diaphragm. Motor nerve condution study of right phrenic nerve showed a depressed amplitude, and he was diagnosed with right diaphragmatic paralysis. Herpes zoster infection, which had caused vesicular eruption on his right neck 2 weeks before his admission, was considered as the etiology of diaphragmatic paralysis. Pulmonary function test showed obstructive pattern, and suggested that he had chronic obstructive lung disease(COPD)due to his heavy smoking history. It should be noted that diaphragmatic paralysis caused by herpes zoster infection could lead to acute respiratory failure especially in patients with underlying lung diseases.

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