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Biopsy-negative, varicella zoster virus (VZV)-positive giant cell arteritis, zoster, VZV encephalitis and ischemic optic neuropathy, all in one.

Authors:
Tiago Teodoro Maria A Nagel Ruth Geraldes Teresa White Ravi Mahalingam Paulo Batista Mary Wellish Jose Pimentel Nelly Khmeleva Anna Heintzman Luísa Albuquerque Philip J Boyer Alexander Choe Rita Peralta Don Gilden

J Neurol Sci 2014 Aug 27;343(1-2):195-7. Epub 2014 May 27.

Department of Neurology, University of Colorado School of Medicine, Aurora, CO, USA; Department of Microbiology, University of Colorado School of Medicine, Aurora, CO, USA. Electronic address:

A 72-year-old man developed clinical features of giant cell arteritis (GCA) and ipsilateral ophthalmic-distribution zoster, followed within 2 weeks by VZV encephalitis and 2 months later by ischemic optic neuropathy. Temporal artery biopsy was histopathologically negative for GCA, but contained VZV antigen and VZV DNA in multiple non-contiguous (skip) areas. The collective clinical and laboratory findings revealed a remarkably close temporal association of zoster, multifocal VZV vasculopathy with temporal artery infection, biopsy-negative VZV-positive GCA and VZV encephalitis.

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http://dx.doi.org/10.1016/j.jns.2014.05.035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4101038PMC
August 2014

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A CASE OF MRI-NEGATIVE HERPES VIRUS ENCEPHALITIS PRESENTED BY RAMSAY HUNT SYNDROME.

Authors:
Pavel A Dyachenko Anatoly G Dyachenko

Wiad Lek 2020 ;73(11):2555-2556

SUMY STATE UNIVERSITY, SUMY, UKRAINE.

Ramsay Hunt syndrome (RHS) occurs due to reactivation of latent Varicella Zoster Virus (VZV) infection in the geniculate ganglion of the facial nerve. Major clinical symptoms include ipsilateral facial paralysis, otic pain, and herpetic vesicles (rashes) along the nerve with accompanying ear pain. Rarely clinical findings include retrograde transaxonal spread of the virus from the ganglion into the brain parenchyma with developing the encephalitis or multiple cranial nerve involvement. Read More

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Varicella zoster immune globulin (human) (VARIZIG) in immunocompromised patients: a subgroup analysis for safety and outcomes from a large, expanded-access program.

Authors:
Hayley Gans Roy F Chemaly

BMC Infect Dis 2021 Jan 11;21(1):46. Epub 2021 Jan 11.

Department of Infectious Diseases, Infection Control, and Employee Health, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd Unit 402, Houston, TX, 77030, USA.

Background: Immunocompromised children and adults are at increased risk for severe disease and death following varicella zoster virus infection. Varicella zoster immune globulin (human) (VARIZIG) is recommended for post-exposure prophylaxis to prevent or attenuate varicella infection in high-risk individuals.

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Characteristics and long-term prognosis of Danish patients with varicella zoster virus detected in the cerebrospinal fluid, compared with the background population.

Authors:
Lars H Omland Hanne T Vestergaard Ram B Dessau Jacob Bodilsen Nanna S Andersen Claus B Christiansen Svend Ellermann-Eriksen Lene Nielsen Christian Ø Andersen Anne-Mette Lebech Niels Obel

J Infect Dis 2021 Jan 8. Epub 2021 Jan 8.

Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Background: Risk factors for and long-term outcomes following detection of varicella zoster virus (VZV) DNA in the cerebrospinal fluid (CSF) are unknown.

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Cognitive impairment without altered levels of cerebrospinal fluid biomarkers in patients with encephalitis caused by varicella-zoster virus: a pilot study.

Authors:
Marie Eckerström Staffan Nilsson Henrik Zetterberg Kaj Blennow Anna Grahn

Sci Rep 2020 12 28;10(1):22400. Epub 2020 Dec 28.

Department of Infectious Diseases, Institute of Biomedicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.

Varicella-zoster virus (VZV) is one of the most common agents causing viral infections of the central nervous system (CNS). VZV encephalitis is associated with severe neurological sequelae, despite antiviral treatment. Cognitive impairment has been reported and VZV has been associated with dementia. Read More

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Varicella-Zoster Virus Meningitis and Encephalitis: An Understated Cause of Central Nervous System Infections.

Authors:
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Cureus 2020 Nov 20;12(11):e11583. Epub 2020 Nov 20.

Internal Medicine, University of Sucre, Sincelejo, COL.

Background Varicella-zoster virus (VZV) and herpes zoster cause infections of the central nervous system (CNS) manifesting as meningitis or encephalitis. As compared to enterovirus (EV) and herpes simplex virus 1 (HSV-1) and 2 (HSV-2), it is not often tested in CNS infections due to VZV and herpes zoster. There is a certain tendency to think that the findings in the cerebrospinal fluid in infections of the CNS by viruses are comparable among themselves. Read More

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