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Atypical Presentation of Aseptic Meningitis Due to Varicella Zoster: A Case Report

INTRODUCTION: Varicella zoster virus (VZV) meningitis is primarily an infection of the immuno-compromised. However, it can also affect immunocompetent individuals. Reactivation of VZV typically presents with a distinct dermatomal rash suggestive of varicella zoster, but there have also been reports...

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Detalles Bibliográficos
Autores principales: Jia, Sharon, Luong, Thuyvi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610470/
https://www.ncbi.nlm.nih.gov/pubmed/34813439
http://dx.doi.org/10.5811/cpcem.2021.7.53596
Descripción
Sumario:INTRODUCTION: Varicella zoster virus (VZV) meningitis is primarily an infection of the immuno-compromised. However, it can also affect immunocompetent individuals. Reactivation of VZV typically presents with a distinct dermatomal rash suggestive of varicella zoster, but there have also been reports of VZV meningitis presenting without a rash. CASE REPORT: We describe a case of VZV meningitis in a healthy, 30-year-old male presenting to the emergency department shortly after receiving his first coronavirus disease 2019 vaccination. He was treated with intravenous acyclovir and then discharged home on oral valacyclovir. CONCLUSION: Emergency physicians should consider aseptic meningitis in immunocompetent patients presenting with atypical headaches in this population.