scholarly journals Sinus venous thrombosis: a rare complication of varicella zoster virus

2020 ◽  
Vol 20 (Suppl 2) ◽  
pp. s46-s46
Author(s):  
Emadullah Raidullah ◽  
Waqar Gaba
2018 ◽  
pp. bcr-2018-226106
Author(s):  
Sharath P Madhyastha ◽  
Nidhi Gupta ◽  
Raviraja V Acharya ◽  
Abdul Samad

2021 ◽  
Vol 2021 (6) ◽  
Author(s):  
Christina Platanaki ◽  
Leonidia Leonidou ◽  
Dimitrios Siagkris ◽  
Ιoanna Giannopoulou ◽  
Fotini Paliogianni ◽  
...  

ABSTRACT Varicella-zoster virus (VZV) reactivation causes a relatively common disease in immunocompromised patients characterized by rash and radiating pain. Aseptic meningitis is a rare complication of VZV infection and commonly is associated with exanthem and neurological signs. We present an atypical case of VZV meningitis in a healthy 56-year-old male who was initially presented with persistent headache as the only symptom. Anti-VZV immunoglobulin G titer both in serum and in cerebrospinal fluid (CSF) and the polymerase chain reaction (PCR) CSF analysis revealed VZV infection. Our case highlights the importance of considering VZV aseptic meningitis in immunocompetent individuals even in the absence of the typical presentation of meningitis. Screening techniques such as CSF, PCR as well as anti-VZV antibodies in CSF show that VZV meningitis is a common cause of aseptic meningitis and allows the early recognition of CNS involvement in the VZV infection.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Chamara Dalugama ◽  
Ruwanthi Jayasinghe ◽  
Nimanthi Rathnayaka ◽  
Arjuna Medagama

Abstract Background Varicella zoster virus is a Deoxyribonucleic acid (DNA) virus exclusively affecting humans. Reactivation of varicella zoster virus causes herpes zoster with vesicular eruptions in a restricted dermatomal distribution. Peripheral motor neuropathy is a very rare complication of varicella zoster virus. Case presentation A 57-year-old previously well Sri Lankan female presented with acute onset painful weakness of the left upper limb with a preceding history of a febrile illness. Subsequently she developed vesicular eruptions in the dermatomal distribution of cervical 5, 6, and 7. Electromyography was suggestive of acute denervation of cervical 5, 6, and 7 myotomes. Diagnosis of zoster-associated brachial plexopathy was made, and the patient was treated with acyclovir, steroids, and analgesics. She made a good recovery. Conclusion Brachial plexus neuritis due to varicella zoster infection should be considered in an acute monoparesis of a limb as it is a treatable and reversible condition


2021 ◽  
Author(s):  
Madson Caio dos Santos Dantas ◽  
João Pedro Cardoso Prudêncio

Context: Varicella-zoster virus (VZV) primary infection causes a diffuse vesicular rash and affects mainly young people. VZV-associated encephalitis is a rare complication since the advent of vaccination, and can present as different neurological syndromes. This report aims to describe a case of acute cerebellar ataxia after VZV-associated encephalitis in a child, admitted to the Onofre Lopes University Hospital (HUOL) in Natal, Brazil. Case report: We present the case of a 9-year-old girl referred to HUOL with polymorphic skin lesions for 8 days. She evolved with headache, vomiting, drowsiness and confusion. Upon admission, she was pale (+/4+), anicteric, confused (GCS=14), hemodynamically stable, SaO2=99%, with pupillary response and no meningism. Laboratory tests showed Hb 11.7g/dl, leukocytes 7,200/mm³ (93% segmented, 1% eosinophils, 5% lymphocytes and 2% monocytes), AST 38U/ml and ALT 46U/ml. Once clinical diagnosis of VZVencephalitis was made, the patient was admitted to the ICU for monitoring and treatment. Cranial CT showed hypodensities on the frontal and occipital lobes; CSF analysis: glucose=76mg/dl, proteins=24mg/dl, leukocytes=9/mm3 (monocytes 78%). She improved progressively and was transferred to the ward, evolving with ataxia, suggesting cerebellitis. Conclusions: This case describes a chickenpox rare complication nowadays: encephalitis. Along evolution, the patient presented acute cerebellar ataxia, a more prevalent condition in children, usually having a limited course.


2014 ◽  
Vol 14 (8) ◽  
pp. 750-751
Author(s):  
Meki Bilici ◽  
Murat Muhtar Yilmazer ◽  
Fikri Demir ◽  
Ahmet Caliskan ◽  
Fatma Bozkurt ◽  
...  

Medicina ◽  
2019 ◽  
Vol 55 (5) ◽  
pp. 201 ◽  
Author(s):  
Samar A. Abbas ◽  
Jeanine El Helou ◽  
Moussa A. Chalah ◽  
Hanine Hilal ◽  
Gaby Saliba ◽  
...  

Varicella-zoster virus (VZV) is a human neurotropic herpes virus that causes chickenpox in children. After becoming latent in dorsal root ganglia, it can reactivate to cause dermatological manifestations, the most common one being shingles or herpes zoster. Severe neurologic dysfunctions can occur in immunocompromised patients such as encephalitis, meningitis, myelitis and neuropathy. Longitudinal extensive transverse myelitis (LETM) is an unusual neurological complication mainly described in immunocompromised patients, with very few cases described in immunocompetent ones. We hereby report a case of VZV-induced LETM in an immunocompetent older adult—a situation rarely described in the literature. LETM is a rare complication of VZV and its pathogenesis; therapeutic interventions and prognosis are far from being fully clarified. However, a prompt diagnosis is needed to allow a rapid initialization of treatment and ensure a better outcome. Although the therapeutic lines are not clear, immunosuppressive agents may have their place in cases of unsuccessful results and/or relapses following acyclovir coupled with a well conducted methylprednisolone therapy. Further studies are highly needed to improve the current understanding of the disease course and mechanisms, and to optimize therapeutic strategies.


2017 ◽  
Vol 4 (1) ◽  
pp. 290
Author(s):  
Shubhransu Patro ◽  
Debananda Sahoo ◽  
Anil Kumar Dash ◽  
Biswamohan Mishra

Varicella zoster virus has a high affinity for the ganglion and causes various neuropathies. About 12% of all peripheral facial nerve palsies are caused by varicella zoster virus, a rare complication due to reactivation of the herpes zoster virus in the geniculate ganglion of facial nerve. The occurrence rate of associated cranial polyneuropathy has been reported to be 1.8-3.2% and cranial nerves VII, VIII, IX and X are the ones most commonly affected. Here, we present a case of Herpes zoster maxillaris with cranial polyneuropathy who was improved with oral anti-viral drugs and steroid. Multiple cranial nerve palsies are being observed frequently in patients who were referred with a preliminary diagnosis of facial palsy. These patients are required to be examined in detail for involvement of other cranial nerves. Early diagnosis and treatment is required for reversing the functions of cranial nerves and decreasing the chance of developing other complications.


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