Herpes Zoster and Meningitis Resulting From Reactivation of Varicella Vaccine Virus in an Immunocompetent Child

Herpes zoster complicated by meningitis has been mainly reported in immunocompromised patients after reactivation of wild-type varicella-zoster virus. We present one of the first cases of aseptic meningitis after herpes zoster caused by reactivation of vaccine-type varicella-zoster virus in an immun...

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Bibliographic Details
Published in:Annals of emergency medicine 2009-06, Vol.53 (6), p.792-795
Main Authors: Iyer, Sujit, MD, Mittal, Manoj K., MD, MRCP (UK), Hodinka, Richard L., PhD
Format: Article
Language:English
Subjects:
Acyclovir - therapeutic use
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Antiviral Agents - therapeutic use
Biological and medical sciences
Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis
Chickenpox Vaccine - adverse effects
Child
Emergency
Herpes Zoster - complications
Herpes Zoster - drug therapy
Herpes Zoster - immunology
Humans
Immunocompetence
Intensive care medicine
Male
Medical sciences
Meningitis, Viral - drug therapy
Meningitis, Viral - immunology
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
Varicella-zoster virus
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Summary:Herpes zoster complicated by meningitis has been mainly reported in immunocompromised patients after reactivation of wild-type varicella-zoster virus. We present one of the first cases of aseptic meningitis after herpes zoster caused by reactivation of vaccine-type varicella-zoster virus in an immunocompetent child. We also highlight the increasing role of both wild-type and vaccine strains of varicella-zoster virus as a cause of viral meningoencephalitis and the use of appropriate laboratory tools to rapidly and accurately identify the virus in order to provide prompt patient care and management.
ISSN:0196-0644
1097-6760
DOI:10.1016/j.annemergmed.2008.10.023