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Case Report
Copyright ©The Author(s) 2025.
World J Clin Cases. Nov 26, 2025; 13(33): 112607
Published online Nov 26, 2025. doi: 10.12998/wjcc.v13.i33.112607
Table 1 Summary of published Elsberg syndrome cases identified through database search
Ref.
Region
Sex/age (years)
Disease course
Comorbidities
Clinical manifestations
Treatment
Outcome
Follow-up
Nishiyama et al[6], 2023JapanFemale/7710 daysNoneUrinary retention, genital rashAcyclovir, acetaminophen, urinary catheterPersistent postherpetic neuralgia6 months
Yang et al[7], 2022ChinaFemale/743 weeksHypertension and hyperlipidemiaUrinary retention, constipation, sacral numbnessFamciclovir, prednisone, indomethacin, mecobalamin; electroacupunctureComplete resolution1 year
Desai et al[8], 2022United StatesMale/4512 daysAcute ischemic stroke; smoldering myelomaUrinary retention, fecal incontinence, lumbosacral vesicular rash, right leg paresthesiaAcyclovir, dexamethasoneRequired self-catheterization1 year
Bhagat et al[9], 2021United StatesMale/564 daysAIDs; cerebrovascular eventFever, painful rash, bilateral limb weakness, bowel/bladder dysfunctionAcyclovir; Biktarvy®Complete resolution1 month
Santos et al[10], 2021BrazilMale/522 monthsCrohn’s disease; AIDsUrinary retention and loss of sensation of the genital and left lower limbCorticosteroid pulse and acyclovirIncomplete improvement-
Shah et al[11], 2021United KingdomMale/632 weeks-Low back pain, perineal and genital numbness, together with bilateral lower limb paresthesia and urinary retentionAcyclovirDeath-
Saito et al[12], 2018JapanFemale/6810 daysType 2 diabetes mellitus; hypertension and dyslipidemiaUrinary retention and constipation; rash in the left hipIV acyclovir, catheterization and methylprednisolone pulseComplete resolution6 months
Abe et al[13], 2015JapanMale/577 daysNoneFever with chills, headache with nausea and vomiting and intention tremors of the bilateral upper limbs, constipation and urinary retentionAcyclovir, bladder catheterPersistent symptoms1 year
Fujii et al[14], 2015JapanMale/768 daysRight testicular hydroceleAnal pain and voiding difficulty, urinary retention, and incontinence of fecesAcyclovir, methylprednisolone and immunoglobulinAsymptomatic at discharge-
Matsumoto et al[15], 2012JapanFemale/554 daysRectal ulcerHerpes zoster, urinary retention, and constipationIntravenous acyclovir and oral purgatives urethral catheterAsymptomatic at discharge-