Varicella Zoster Virus Meningoencephalitis Presenting with Elsberg Syndrome without a Rash in an Immunocompetent Patient.
Varicella zoster virus (VZV) infection usually manifests with a skin rash. To the best of our knowledge, this is the first report of a case of VZV meningoencephalitis presenting with Elsberg syndrome without a rash in an immunocompetent patient. Clinicians should consider the potential for VZV infection as well as herpes simplex virus infection in cases of aseptic meningitis accompanied by bladder and rectal disturbances, even in patients without any rash symptoms.
Department of Infectious Diseases, Toranomon Hospital, Japan.
Masahiro
M
Abe
Hideki
H
Araoka
Muneyoshi
M
Kimura
Akiko
A
Yoneyama
D000212:Acyclovir / Q000008:administration & dosage; D000998:Antiviral Agents / Q000008:administration & dosage; D004279:DNA, Viral / Q000302:isolation & purification; D020804:Encephalitis, Varicella Zoster / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D005334:Fever / Q000209:etiology*; D006562:Herpes Zoster / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D014645:Herpesvirus 3, Human / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D008590:Meningoencephalitis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D008875:Middle Aged; D012867:Skin / Q000473:pathology*; D016896:Treatment Outcome
D000998:Antiviral Agents; D004279:DNA, Viral; D000212:Acyclovir