Wound Healing Society

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Varicella Zoster Reactivation Immediately Following Keystone Flap Reconstruction Of A Radiated Back Wound.
Tae Hwan Park.
CHA bundang medical center, Rockville, Korea, Republic of.

BACKGROUND VZV infection following flap surgery could indicate reinnervation.
However, the exact mechanism underlying reinnervation has not yet been fully elucidated.METHODS Our patient was a 58-year-old woman who underwent
surgery for cancer of her left breast (stage IIIA, T2N2M0) 8 years ago. We reconstructed a radiation ulcer of the back with double-opposing keystone flaps harvested from the adjacent soft tissue.RESULTS On postoperative day 4, vesicular lesions on the right flank and
back appeared, suggesting possible VZV infection.CONCLUSIONSThis report raises the possibility that the virus can spread through the environment when perfusion is performed in immunocompromised patients


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