Herpes Zoster in a World Class Triathlete: A Case Report and Evaluation of Training Schedules in Relation to Immune Status

Abstract

Herpes zoster, also known as shingles, is an eruption of latent varicella zoster viral particles, which classically leads to a dermatomal skin eruption. While the causes of this reactivation are still unknown, shingles usually affects older individuals or those who are immunocompromised due to other disease processes or pharmacotherapy following organ transplantation. We report a unique case of herpes zoster in a world class triathlete who developed a painful dermatomal rash following a period of particularly intense training, travel, and competition. His training schedule for three months following the illness and return to competition is documented. The athlete's subsequent period of underperformance and profound fatigue suggested an inadequate recovery period. Review of the literature reveals a paucity of information about what is considered an appropriate period after herpes zoster before athletes return to training and competition.