scholarly journals Varicella Zoster Virus Pneumonitis and Brainstem Encephalitis Without Skin Rash in an Immunocompetent Adult

2014 ◽  
Vol 1 (2) ◽  
Author(s):  
Ramachandiran Nandhagopal ◽  
Nelly Khmeleva ◽  
B. Jayakrishnan ◽  
Teresa White ◽  
Faisal Al Azri ◽  
...  
Keyword(s):  
Varicella Zoster Virus ◽  
Lung Biopsy ◽  
Central Nervous System Disease ◽  
Giant Cells ◽  
Multinucleated Giant Cells ◽  
Brainstem Encephalitis ◽  
Igg Antibody ◽  
Immunocompetent Adult ◽  
Varicella Zoster ◽  
System Disease

Abstract Varicella zoster virus (VZV) pneumonitis and brainstem encephalitis developed in an immunocompetent adult without rash. Chest computed tomography exhibited nodularity; lung biopsy revealed multinucleated giant cells, Cowdry A inclusions, VZV antigen, and DNA. Varicella zoster virus central nervous system disease was verified by cerebrospinal fluid (CSF) anti-VZV IgG antibody with reduced serum/CSF ratios.

scholarly journals Varicella-zoster Virus Related Pulmonary Granulomas in Which Varicella-zoster Virus DNA Was Demonstrated in a Thoracoscopic Lung Biopsy Specimen

2019 ◽  
Vol 58 (14) ◽  
pp. 2101-2105 ◽  
Author(s):  
Takeshi Isobe ◽  
Jyunro Umemoto ◽  
Misato Kobayashi ◽  
Takae Okuno ◽  
Youhei Shiratsuki ◽  
...  
Keyword(s):  
Varicella Zoster Virus ◽  
Biopsy Specimen ◽  
Lung Biopsy ◽  
Varicella Zoster ◽  
Pulmonary Granulomas

scholarly journals Herpes Zoster Infection Presenting as Aseptic Meningitis and Dermatomal Rash in Immunocompetent Adult

2020 ◽  
Vol 2020 ◽  
pp. 1-3 ◽  
Author(s):  
Suyash Dawadi ◽  
Sudesh Lamsal ◽  
Bhupendra Shah
Keyword(s):  
Herpes Zoster ◽  
Varicella Zoster Virus ◽  
Aseptic Meningitis ◽  
Elderly Population ◽  
Virus Reactivation ◽  
Herpes Zoster Infection ◽  
Immunocompetent Adult ◽  
Varicella Zoster ◽  
Vesicular Rash ◽  
Immunocompromised Status

Herpes zoster is a localized, painful, and vesicular rash involving one or adjacent dermatomes caused by varicella-zoster virus reactivation. Herpes zoster presenting as aseptic meningitis is prevalent among elderly population and people with immunocompromised status. However, it is a rare phenomenon in the young immunocompetent adult; hence, we are reporting a case of a herpes zoster infection presenting as aseptic meningitis and dermatological manifestation in a 19-year-old immunocompetent male.

scholarly journals Painless Multidermatomal Herpes Zoster in an Immunocompetent Elderly Male: a Case Report

2015 ◽  
Vol 7 (4) ◽  
pp. 172-180 ◽  
Author(s):  
Shikhar Ganjoo ◽  
Mohinder Pal Singh Sawhney ◽  
Dikshak Chawla
Keyword(s):  
Herpes Zoster ◽  
Varicella Zoster Virus ◽  
Ganglion Cells ◽  
Giant Cells ◽  
Elderly Male ◽  
Left Groin ◽  
Varicella Zoster ◽  
Patient Reported ◽  
History Of ◽  
Serology Test

Abstract The varicella-zoster virus is the cause of both varicella and herpes zoster. The primary infection of varicella includes viremia and a widespread eruption, after which the virus persists in nerve ganglion cells, usually sensory. Herpes zoster is the result of reactivation of this residual latent virus. The first manifestation of zoster is usually pain, which may be severe and accompanied by fever, headache, malaise and tenderness localized to one or more nerve roots. The lymph nodes draining the affected area are enlarged and tender. Occasionally, the pain is not followed by eruption (zoster sine herpete). We hereby report an 85-year-old otherwise healthy male patient with a 3-day history of a non-painful rash on the left side of abdomen, pubic and penile regions, left groin and the left leg. He denied any pain and/or abnormal sensations before the rash onset. On examination, there were closely grouped multiple vesicles over the anterior left abdominal wall, left groin, thigh, knee and left upper quarter of penis, involving the left T12, L1-L4 and S2 dermatomes. The patient reported no pain, fever, rigor or any other symptoms; he had no associated cervical, axillary or inguinal lymphadenopathy. He denied any abdominal pain, nausea, vomiting, any weakness or sensory changes in the limbs. There was no history of penile numbness, urinary retention, and increased frequency of micturition or constipation. The varicella-zoster virus serology test performed by Calbiotech VZV IgG ELISA Kit (Calbiotech, Spring Valley, Canada) was strongly positive. The human immunodeficiency virus serology test, as well as herpes simplex virus type 1 and type 2 serology tests performed by ELISA were all negative. The Tzanck smear, stained with Giemsa, demonstrated multinucleated giant cells. The patient responded well to valacyclovir with complete clearance of lesions within one week. An extensive PubMed search revealed only few reports of painless herpes zoster. We present a rather peculiar case of painless herpes zoster in an elderly patient with no apparent systemic immunosuppression, with severe involvement affecting multiple adjacent and one remote dermatome. We hereby propose the term ”herpes zoster sine algesia” in cases where eruption is not followed by pain.

Atypical presentation of varicella-zoster virus encephalitis in an immunocompetent adult

Heart & Lung ◽  
2008 ◽  
Vol 37 (1) ◽  
pp. 61-66 ◽  
Author(s):  
Maria Mpaka ◽  
Apostolos H. Karantanas ◽  
Epaminondas Zakynthinos
Keyword(s):  
Varicella Zoster Virus ◽  
Atypical Presentation ◽  
Immunocompetent Adult ◽  
Virus Encephalitis ◽  
Varicella Zoster

Arsenic Exposure and Seroprevalence of the Varicella- Zoster Virus Igg Antibody in the US Population

2014 ◽  
Vol 2014 (1) ◽  
pp. 1950
Author(s):  
Andres Cardenas* ◽  
Ellen Smit ◽  
E. Andres Houseman ◽  
Nancy Kerkvliet ◽  
Molly L. Kile
Keyword(s):  
Varicella Zoster Virus ◽  
Arsenic Exposure ◽  
Igg Antibody ◽  
Varicella Zoster ◽  
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