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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Autores principales: Sharon Jia, Thuyvi Luong
Formato: article
Lenguaje:EN
Publicado: eScholarship Publishing, University of California 2021
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Acceso en línea:https://doaj.org/article/41d964a892c64cbd85e705914103b589
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spelling oai:doaj.org-article:41d964a892c64cbd85e705914103b5892021-11-23T20:02:52ZAtypical Presentation of Aseptic Meningitis Due to Varicella Zoster: A Case Report2474-252X10.5811/cpcem.2021.7.53596https://doaj.org/article/41d964a892c64cbd85e705914103b5892021-11-01T00:00:00Zhttps://escholarship.org/uc/item/34p7q609https://doaj.org/toc/2474-252XIntroduction: 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.Sharon JiaThuyvi LuongeScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
spellingShingle Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Sharon Jia
Thuyvi Luong
Atypical Presentation of Aseptic Meningitis Due to Varicella Zoster: A Case Report
description 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.
format article
author Sharon Jia
Thuyvi Luong
author_facet Sharon Jia
Thuyvi Luong
author_sort Sharon Jia
title Atypical Presentation of Aseptic Meningitis Due to Varicella Zoster: A Case Report
title_short Atypical Presentation of Aseptic Meningitis Due to Varicella Zoster: A Case Report
title_full Atypical Presentation of Aseptic Meningitis Due to Varicella Zoster: A Case Report
title_fullStr Atypical Presentation of Aseptic Meningitis Due to Varicella Zoster: A Case Report
title_full_unstemmed Atypical Presentation of Aseptic Meningitis Due to Varicella Zoster: A Case Report
title_sort atypical presentation of aseptic meningitis due to varicella zoster: a case report
publisher eScholarship Publishing, University of California
publishDate 2021
url https://doaj.org/article/41d964a892c64cbd85e705914103b589
work_keys_str_mv AT sharonjia atypicalpresentationofasepticmeningitisduetovaricellazosteracasereport
AT thuyviluong atypicalpresentationofasepticmeningitisduetovaricellazosteracasereport
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