Varicella zoster virus pneumonitis and brainstem encephalitis without skin rash in an immunocompetent adult.
Varicella zoster virus (VZV) pneumonitis and brainstem encephalitis developed in an immunocompetent adult without rash. Chest computed tomography exhibited nodularity; lung biopsy revealed multinucleated giant cells, Cowdry A inclusions, VZV antigen, and DNA. Varicella zoster virus central nervous system disease was verified by cerebrospinal fluid (CSF) anti-VZV IgG antibody with reduced serum/CSF ratios.
Departments of Medicine.
Ramachandiran
R
Nandhagopal
Departments of Neurology.
Nelly
N
Khmeleva
Departments of Medicine.
B
B
Jayakrishnan
Departments of Neurology.
Teresa
T
White
Radiology and Molecular Imaging , College of Medicine and Health Sciences , Muscat , Oman.
Faisal
F
Al Azri
Departments of Medicine.
Jojy
J
George
Departments of Neurology.
Anna
A
Heintzman
Departments of Medicine.
Khalfan
K
Al Zeedy
Department of Pathology , Children's Hospital of Philadelphia, Perelman School of Medicine at University of Pennsylvania.
Lucy
L
Rorke-Adams
Departments of Medicine.
Arunodaya R
AR
Gujjar
Centers for Disease Control and Prevention, Atlanta, Georgia.
D Scott
DS
Schmid
Departments of Medicine.
Abdullah
A
Al-Asmi
Departments of Neurology.
Maria A
MA
Nagel
Departments of Medicine.
Poovathoor Chacko
PC
Jacob
Departments of Neurology ; Microbiology , University of Colorado School of Medicine , Aurora.
Don
D
Gilden
VZV; absence of rash; brainstem encephalitis; pneumonitis