ArticleIDCases2018
Varicella Zoster aseptic meningitis: Report of an atypical case in an immunocompetent patient treated with oral valacyclovir.
Article in IDCases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 20 citations in OpenAlex.
- Article
- Article
- Clinical characteristics and treatment of varicella zoster virus central nervous system infection in an Australian tertiary hospital.Internal medicine journal · 2025Article
- Varicella-zoster virus meningitis with hypoglycorrhachia, presenting with painless occipital herpes zoster mimicking atopic dermatitis.BMJ case reports · 2025Article
- Varicella Zoster Meningitis in a Young, Immunocompetent Patient Despite Initiation of Antiviral Therapy.Cureus · 2023Article
- A case of viral meningitis due to Varicella Zoster virus infection in a young adult male.IDCases · 2023Article
- Atypical Manifestation of VZV Infection in a Vaccinated Immunocompetent Adult.Case reports in infectious diseases · 2022Article
- Atypical Presentation of Aseptic Meningitis Due to Varicella Zoster: A Case Report.Clinical practice and cases in emergency medicine · 2021Article
- Varicella zoster meningitis in a pregnant woman with uncontrolled type 1 diabetes mellitus.BMJ case reports · 2021Article
- Concurrent maxillary herpes zoster, meningitis, focal cerebral arteriopathy, and ischemic stroke: A case report.Clinical case reports · 2020Article
- Article
- Varicella-zoster meningitis in an immunocompetent young man presenting with a painless erythematous rash.BMJ case reports · 2020Article
- Herpes Zoster Infection Presenting as Aseptic Meningitis and Dermatomal Rash in Immunocompetent Adult.Case reports in infectious diseases · 2020Article
- A Rare Case of an Immunocompetent Male With Zoster Meningitis.Journal of investigative medicine high impact case reportsArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Varicella Zoster when described has the typical presentation of a dermatomal distribution of a rash and can further lead to CNS complications. This can be treated accordingly with the proper protocol, but if the presentation is atypical and the protocol is challenged or changed per specific patient outcomes, new developments can occur. Here we present a case of a 29-year-old Caucasian female that presented to the emergency department with headache, photophobia, and chills for 5 days. She was previously healthy and immunocompetent; CSF PCR analysis revealed a VZV infection causing acute aseptic meningitis with no shingles rash eruption on physical examination. The patient was not willing to stay hospitalized for the duration of the treatment. This gave us an opportunity to treat her with an oral, rather than IV, antiviral. The patient was successfully treated with oral valacyclovir 2 g Q6H after only receiving two days of IV acyclovir. To the best of our knowledge, this is the first reported case of a patient with VZV-associated meningitis successfully treated with oral valacyclovir.
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