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Title: Varicella-zoster meningitis with a late-onset of skin eruption
Authors: Anawin Sanguankeo
Sikarin Upala
Suthanya Sornprom
Natanong Thamcharoen
Columbia University, College of Physicians and Surgeons
Mahidol University
Keywords: Medicine
Issue Date: 17-Feb-2015
Citation: BMJ Case Reports. Vol.2015, (2015)
Abstract: Copyright 2015 BMJ Publishing Group. All rights reserved. Viral meningitis caused by varicella-zoster virus (VZV) is an uncommon neurological complication of herpes zoster. It may occur before or after the onset of the vesicular rash along the dermatomal distribution, which is the classic presentation of herpes zoster. We describe a case of a 51-year-old immunocompetent Caucasian man who presented with neck and severe right-sided facial pain. Eight days later, he had photophobia and papular rash on his forehead. Cerebrospinal fluid (CSF) examination confirmed aseptic meningitis and CSF PCR detected the presence of VZV DNA. Neurological complications of VZV infection, such as aseptic meningitis, may be difficult to diagnose and can cause delay in treatment, especially in cases with late onset of dermatological manifestations of herpes zoster. Definite diagnosis requires evidence of acute VZV infection in blood or cerebrospinal fluid.
ISSN: 1757790X
Appears in Collections:Scopus 2011-2015

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