Interplay between stress and immunity triggers herpes zoster infection in COVID-19 patients: a review
Rakesh Ravishankar Rahangdale, Tenzin Tender, Sridevi Balireddy, Mukesh Pasupuleti, Raghu Chandrashekar Hariharapura
Abstract
Coronavirus disease 2019 (COVID-19) is a potential health threat in the highly mobile society of the world. There are also concerns regarding the occurrence of co-infections occurring in COVID-19 patients. Herpes zoster (HZ) is currently being reported as a co-infection in COVID-19 patients. It is a varicella-zoster virus induced viral infection affecting older and immunocompromised individuals. Reactivation of HZ infection in COVID-19 patients are emerging and the mechanism of reactivation is still unknown. The most convincing argument is that increased psychological and immunological stress leads to HZ in COVID-19 patients; this review justifies this argument.