Ogilvie’s Syndrome Following Herpes Zoster Infection: A Comprehensive Review of the Literature
2024

Ogilvie’s Syndrome After Herpes Zoster Infection: A Review

Sample size: 28 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Loufopoulos Ioannis, Waheed Unaiza, Anestiadou Elissavet, Kontos Antonios, Kechagias Konstantinos S, Katsikas Konstantinos T, Giannis Dimitrios, Geropoulos Georgios

Hypothesis

This systematic review explores the association between herpes zoster infection and Ogilvie’s syndrome.

Conclusion

The study suggests that herpes zoster-induced Ogilvie’s syndrome may be underdiagnosed, especially in immunocompromised patients, and emphasizes the importance of early recognition and conservative treatment.

Supporting Evidence

  • 93% of patients achieved full recovery with conservative management.
  • 47.6% of patients had underlying immunosuppressive conditions.
  • Symptoms of pseudo-obstruction often preceded the herpetiform rash in 58% of cases.

Takeaway

This study looked at how a virus that causes shingles can lead to a serious stomach problem. Most people got better with the right treatment.

Methodology

A systematic review was conducted following PRISMA guidelines, analyzing 27 studies that reported cases of Ogilvie’s syndrome associated with herpes zoster.

Potential Biases

The quality of included studies varied, with some lacking comprehensive data.

Limitations

The review relied on case reports and small studies, limiting the generalizability of the findings.

Participant Demographics

The mean age of participants was 60 years, with 71.5% being male and 47.6% having underlying immunosuppressive conditions.

Digital Object Identifier (DOI)

10.7759/cureus.74191

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