A Case of Herpes Zoster Meningoencephaliti.
- Author:
Hyeong Jin CHON
1
;
Seok Jin HONG
;
Hoon KANG
;
Sook Ja SON
;
Keun Ho JEONG
Author Information
1. Department of Dermatology, National Medical Center, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Herpes zoster meningoencephalitis;
Complication
- MeSH:
Acyclovir;
Aged;
Cerebrospinal Fluid;
Encephalitis, Varicella Zoster;
Fever;
Glucose;
Herpes Zoster Ophthalmicus;
Herpes Zoster*;
Humans;
Leukocytosis;
Male;
Meningoencephalitis;
Neck;
Neurologic Examination;
Reflex, Babinski;
Reflex, Stretch
- From:Korean Journal of Dermatology
1998;36(4):707-711
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Herpes zoster can be associated with a number of neurologic complications but meningoencephalitis with herpes zoster is rarely seen. We report a case of herpes zoster ophthalmicus followed by the meningoencephalitis, which developed during treatment with acyclovir infusion. A 73-year-old male patient developed a fever and mental confusion on the third day of the treatment. Neurological examination revealed neck stiffess, increased deep tendon reflex and positive Babinski sign. The cerebrospinal fluid examination revealed increased opening pressure, increased protein and a lymphocytic pleocytosis. The glucose level was decreased, which is a very unusual feature in viral meningoencephalitis.
