Unusual onset of varicella zoster reactivation with meningoencephalitis, followed by rhabdomyolysis and renal failure in a young, immunocompetent patient.
We present an unusual onset of meningoencephalitis due to VZV reactivation, with increased intrathecal production of IgG VZV antibodies and negative PCR, in a young, immunocompetent adult. Herpes zoster erupted 5 d later. Rare complication of VZV-related rhabdomyolysis occurred, with subsequent ARF, in combination with acyclovir and ceftriaxone. The patient recovered fully and remained healthy.
Pirounaki
Maria
M
Department of Internal Medicine, Hippokration General Hospital., Athens, Vasilissis Sofias 114, Greece.
Liatsos
George
G
Elefsiniotis
Ioannis
I
Skounakis
Michail
M
Moulakakis
Antonios
A
D058186:Acute Kidney Injury / Q000821:virology*; D000328:Adult; D020804:Encephalitis, Varicella Zoster / Q000134:cerebrospinal fluid / Q000150:complications* / Q000276:immunology; D014645:Herpesvirus 3, Human / Q000276:immunology / Q000472:pathogenicity*; D006801:Humans; D007121:Immunocompetence; D008297:Male; D008590:Meningoencephalitis / Q000134:cerebrospinal fluid / Q000150:complications* / Q000276:immunology; D012206:Rhabdomyolysis / Q000821:virology*