title: Fatal wild-type varicella-zoster virus encephalitis without a rash in a vaccinated child.
abstract: Encephalitis associated with varicella-zoster virus, rare among children in the varicella vaccine era, has generally been associated with a rash. We report fatal wild-type varicella-zoster virus encephalitis without a rash in a child who had received 1 dose of varicella vaccine. Varicella-zoster virus encephalitis should be considered in the differential diagnosis for children presenting with acute neurologic symptoms, even vaccine recipients.
authors.affiliation: Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA. mamibraheem@yahoo.com
authors.forename: Mam
authors.initials: M
authors.lastname: Ibraheem
authors.forename: Mona
authors.initials: M
authors.lastname: Marin
authors.forename: Jessica
authors.initials: J
authors.lastname: Leung
authors.forename: Clare H
authors.initials: CH
authors.lastname: Bryce
authors.forename: D Scott
authors.initials: DS
authors.lastname: Schmid
authors.forename: Sherif R
authors.initials: SR
authors.lastname: Zaki
authors.forename: Clifton
authors.initials: C
authors.lastname: Drew
authors.forename: Lindy
authors.initials: L
authors.lastname: Liu
authors.forename: Chad
authors.initials: C
authors.lastname: Smelser
mesh_terms: D001921:Brain / Q000473:pathology; D019433:Chickenpox Vaccine / Q000008:administration & dosage*; D002675:Child, Preschool; D020804:Encephalitis, Varicella Zoster / Q000276:immunology / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D014645:Herpesvirus 3, Human / Q000276:immunology / Q000302:isolation & purification*; D006801:Humans; D008279:Magnetic Resonance Imaging; D031368:Zoster Sine Herpete / Q000276:immunology / Q000473:pathology*
chemical_list: D019433:Chickenpox Vaccine