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Pharyngeal dysphagia due to Varicella zoster virus meningoradiculitis and full recovery: Case report and endoscopic findings

Varicella zoster virus reactivation is a rare cause of pharyngeal dysphagia with long-term sequelae persisting in most cases. A 76-year-old immunocompetent woman presented with a 4-week history of dysphagia and dysphonia. Brain magnetic resonance imaging displayed a negative finding. Fiberoptic endo...

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Autores principales: Muhle, Paul, Suntrup-Krueger, Sonja, Dziewas, Rainer, Warnecke, Tobias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5813848/
https://www.ncbi.nlm.nih.gov/pubmed/29468067
http://dx.doi.org/10.1177/2050313X18756560
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author Muhle, Paul
Suntrup-Krueger, Sonja
Dziewas, Rainer
Warnecke, Tobias
author_facet Muhle, Paul
Suntrup-Krueger, Sonja
Dziewas, Rainer
Warnecke, Tobias
author_sort Muhle, Paul
collection PubMed
description Varicella zoster virus reactivation is a rare cause of pharyngeal dysphagia with long-term sequelae persisting in most cases. A 76-year-old immunocompetent woman presented with a 4-week history of dysphagia and dysphonia. Brain magnetic resonance imaging displayed a negative finding. Fiberoptic endoscopic evaluation of swallowing showed a severe dysphagia leading to a percutaneous gastrostomy eventually. Cerebrospinal fluid analysis revealed a lymphocytic pleocytosis and polymerase chain reaction amplified Varicella zoster virus DNA. Eight months after Acyclovir treatment and despite a persisting impairment of the recurrent laryngeal nerve, regular swallowing function was regained and percutaneous gastrostomy could be removed.
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spelling pubmed-58138482018-02-21 Pharyngeal dysphagia due to Varicella zoster virus meningoradiculitis and full recovery: Case report and endoscopic findings Muhle, Paul Suntrup-Krueger, Sonja Dziewas, Rainer Warnecke, Tobias SAGE Open Med Case Rep Case Report Varicella zoster virus reactivation is a rare cause of pharyngeal dysphagia with long-term sequelae persisting in most cases. A 76-year-old immunocompetent woman presented with a 4-week history of dysphagia and dysphonia. Brain magnetic resonance imaging displayed a negative finding. Fiberoptic endoscopic evaluation of swallowing showed a severe dysphagia leading to a percutaneous gastrostomy eventually. Cerebrospinal fluid analysis revealed a lymphocytic pleocytosis and polymerase chain reaction amplified Varicella zoster virus DNA. Eight months after Acyclovir treatment and despite a persisting impairment of the recurrent laryngeal nerve, regular swallowing function was regained and percutaneous gastrostomy could be removed. SAGE Publications 2018-02-11 /pmc/articles/PMC5813848/ /pubmed/29468067 http://dx.doi.org/10.1177/2050313X18756560 Text en © The Author(s) 2018 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Muhle, Paul
Suntrup-Krueger, Sonja
Dziewas, Rainer
Warnecke, Tobias
Pharyngeal dysphagia due to Varicella zoster virus meningoradiculitis and full recovery: Case report and endoscopic findings
title Pharyngeal dysphagia due to Varicella zoster virus meningoradiculitis and full recovery: Case report and endoscopic findings
title_full Pharyngeal dysphagia due to Varicella zoster virus meningoradiculitis and full recovery: Case report and endoscopic findings
title_fullStr Pharyngeal dysphagia due to Varicella zoster virus meningoradiculitis and full recovery: Case report and endoscopic findings
title_full_unstemmed Pharyngeal dysphagia due to Varicella zoster virus meningoradiculitis and full recovery: Case report and endoscopic findings
title_short Pharyngeal dysphagia due to Varicella zoster virus meningoradiculitis and full recovery: Case report and endoscopic findings
title_sort pharyngeal dysphagia due to varicella zoster virus meningoradiculitis and full recovery: case report and endoscopic findings
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5813848/
https://www.ncbi.nlm.nih.gov/pubmed/29468067
http://dx.doi.org/10.1177/2050313X18756560
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