Herpes zoster-associated encephalitis in a patient undergoing CAPD: case report and literature review.
Neurological complications of varicella zoster virus (VZV) reactivation have rarely been described in dialysis patients. We report a case of a continuous ambulatory peritoneal dialysis (CAPD) patient who developed herpes zoster encephalitis. The patient was treated with acyclovir and steroids and had a slow but complete return to her prior cognitive status. The available literature is reviewed and the differential diagnosis with acyclovir toxicity is discussed.
Sigaloff
Kim C E
KC
Department of Internal Medicine, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands. sigaloff@yahoo.com
de Fijter
Carola W H
CW
D000212:Acyclovir / Q000627:therapeutic use; D000368:Aged; D000998:Antiviral Agents / Q000627:therapeutic use; D004279:DNA, Viral / Q000032:analysis; D003937:Diagnosis, Differential; D004569:Electroencephalography; D020804:Encephalitis, Varicella Zoster / Q000150:complications* / Q000188:drug therapy / Q000821:virology; D005260:Female; D005500:Follow-Up Studies; D014645:Herpesvirus 3, Human / Q000235:genetics; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D010531:Peritoneal Dialysis, Continuous Ambulatory; D016133:Polymerase Chain Reaction
D000998:Antiviral Agents; D004279:DNA, Viral; D000212:Acyclovir