Evidence map›Paper›PMID 39870459›Full record

ArticleBMJ case reports2025

Varicella-zoster virus meningitis with hypoglycorrhachia, presenting with painless occipital herpes zoster mimicking atopic dermatitis.

Aya Inamoto, Tomohiro Taniguchi, Yasumitsu Fujii, Sonoko Miyoshi

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Lower lumbar and sacral herpes zoster with central nervous system complications: Two case reports.Dusunen adam : Bakirkoy Ruh ve Sinir Hastaliklari Hastanesi yayin organi · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Aya InamotoHiroshima Prefectural Hospital, Hiroshima, Japan a-inamoto@au.com.
Tomohiro TaniguchiGeneral Internal Medicine & Infectious Diseases, Hiroshima Prefectural Hospital, Hiroshima, Japan.ORCID http://orcid.org/0000-0001-6392-3767
Yasumitsu FujiiGeneral Internal Medicine & Infectious Diseases, Hiroshima Prefectural Hospital, Hiroshima, Japan.
Sonoko MiyoshiGeneral Internal Medicine & Infectious Diseases, Hiroshima Prefectural Hospital, Hiroshima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Varicella-zoster virus (VZV) is a known cause of meningoencephalitis, typically in immunocompromised inpatients. We report a case of meningitis caused by VZV in an immunocompetent man in his 20s. Diagnosis was delayed due to the atypical presentation of painless occipital zoster mimicking atopic dermatitis, and the presence of hypoglycorrhachia in his cerebrospinal fluid. The clinical diagnosis of VZV meningitis poses significant diagnostic challenges, and nucleic acid tests for VZV detection are recommended for patients with severe cases who require empiric acyclovir treatment.

Indexed as

Dermatitis, AtopicHerpesvirus 3, HumanHerpes ZosterMeningitis, ViralVaricella Zoster Virus InfectionAcyclovirAdultAntiviral AgentsDiagnosis, DifferentialHumansMaleAcyclovirAntiviral AgentsGeneral practice / family medicineHeadache (including migraines)Infection (neurology)Meningitis

Identifiers

PMID39870459
PMCPMC11795240

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.