Herpes Zoster Meningitis Presenting With a Cerebrospinal Fluid Leukemoid Reaction in an Adolescent With preB-ALL in Remission
A 19-year-old girl with a history of precursor B acute lymphoblastic leukemia in remission presented with fever, headache, and a skin rash. Cerebrospinal fluid (CSF) examination reported pleocytosis with blast-like cells concerning for a central nervous system leukemic relapse. After the patient sho...
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| Veröffentlicht in: | Journal of pediatric hematology/oncology 2016-08, Vol.38 (6), p.476-478 |
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| container_end_page | 478 |
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| container_issue | 6 |
| container_start_page | 476 |
| container_title | Journal of pediatric hematology/oncology |
| container_volume | 38 |
| creator | Adachi, Kristina Song, Sophie X Kao, Roy L Van Dyne, Elizabeth Kempert, Pamela Deville, Jaime G |
| description | A 19-year-old girl with a history of precursor B acute lymphoblastic leukemia in remission presented with fever, headache, and a skin rash. Cerebrospinal fluid (CSF) examination reported pleocytosis with blast-like cells concerning for a central nervous system leukemic relapse. After the patient showed significant improvement on intravenous acyclovir, a repeat lumbar puncture revealed normalization of CSF. The abnormal CSF cells were reviewed and ultimately determined to be activated and atypical lymphocytes. The patient recovered uneventfully. Atypical lymphocytes resembling leukemic blasts are an unusual finding in viral meningitis. Varicella zoster virus reactivation should be considered during initial evaluation for central nervous system relapse of leukemia. |
| doi_str_mv | 10.1097/MPH.0000000000000614 |
| format | Article |
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Cerebrospinal fluid (CSF) examination reported pleocytosis with blast-like cells concerning for a central nervous system leukemic relapse. After the patient showed significant improvement on intravenous acyclovir, a repeat lumbar puncture revealed normalization of CSF. The abnormal CSF cells were reviewed and ultimately determined to be activated and atypical lymphocytes. The patient recovered uneventfully. Atypical lymphocytes resembling leukemic blasts are an unusual finding in viral meningitis. Varicella zoster virus reactivation should be considered during initial evaluation for central nervous system relapse of leukemia.</description><identifier>ISSN: 1077-4114</identifier><identifier>EISSN: 1536-3678</identifier><identifier>DOI: 10.1097/MPH.0000000000000614</identifier><identifier>PMID: 27322719</identifier><language>eng</language><publisher>United States</publisher><subject>Blast Crisis ; Female ; Herpes Zoster - cerebrospinal fluid ; Herpes Zoster - etiology ; Humans ; Leukemoid Reaction - cerebrospinal fluid ; Leukemoid Reaction - etiology ; Meningitis, Viral - cerebrospinal fluid ; Meningitis, Viral - etiology ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma - complications ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma - pathology ; Recurrence ; Young Adult</subject><ispartof>Journal of pediatric hematology/oncology, 2016-08, Vol.38 (6), p.476-478</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c307t-a2acd04623634102f738c2a57c236f2c033e4df98419fe8cb475378f63587b493</citedby><cites>FETCH-LOGICAL-c307t-a2acd04623634102f738c2a57c236f2c033e4df98419fe8cb475378f63587b493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27915,27916</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27322719$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adachi, Kristina</creatorcontrib><creatorcontrib>Song, Sophie X</creatorcontrib><creatorcontrib>Kao, Roy L</creatorcontrib><creatorcontrib>Van Dyne, Elizabeth</creatorcontrib><creatorcontrib>Kempert, Pamela</creatorcontrib><creatorcontrib>Deville, Jaime G</creatorcontrib><title>Herpes Zoster Meningitis Presenting With a Cerebrospinal Fluid Leukemoid Reaction in an Adolescent With preB-ALL in Remission</title><title>Journal of pediatric hematology/oncology</title><addtitle>J Pediatr Hematol Oncol</addtitle><description>A 19-year-old girl with a history of precursor B acute lymphoblastic leukemia in remission presented with fever, headache, and a skin rash. Cerebrospinal fluid (CSF) examination reported pleocytosis with blast-like cells concerning for a central nervous system leukemic relapse. After the patient showed significant improvement on intravenous acyclovir, a repeat lumbar puncture revealed normalization of CSF. The abnormal CSF cells were reviewed and ultimately determined to be activated and atypical lymphocytes. The patient recovered uneventfully. Atypical lymphocytes resembling leukemic blasts are an unusual finding in viral meningitis. Varicella zoster virus reactivation should be considered during initial evaluation for central nervous system relapse of leukemia.</description><subject>Blast Crisis</subject><subject>Female</subject><subject>Herpes Zoster - cerebrospinal fluid</subject><subject>Herpes Zoster - etiology</subject><subject>Humans</subject><subject>Leukemoid Reaction - cerebrospinal fluid</subject><subject>Leukemoid Reaction - etiology</subject><subject>Meningitis, Viral - cerebrospinal fluid</subject><subject>Meningitis, Viral - etiology</subject><subject>Precursor B-Cell Lymphoblastic Leukemia-Lymphoma - complications</subject><subject>Precursor B-Cell Lymphoblastic Leukemia-Lymphoma - pathology</subject><subject>Recurrence</subject><subject>Young Adult</subject><issn>1077-4114</issn><issn>1536-3678</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkMtOwzAQRS0EoqXwBwh5ySbFr8TJslSUIqWiqkBIbCLHmYAhL-xkwYJ_x1ULQszGM557Z-yD0DklU0oSebVaL6fkb0RUHKAxDXkU8EjGhz4nUgaCUjFCJ869EUIlF-wYjZjkjEmajNHXEmwHDj-3rgeLV9CY5sX0xuG1BQdN70v8ZPpXrPAcLOS2dZ1pVIUX1WAKnMLwDnXrsw0o3Zu2wabBqsGzoq3AaT9hZ-8sXAezNN22N1Ab57z2FB2VqnJwtj8n6HFx8zBfBun97d18lgaaE9kHiildEBExHnFBCSsljzVTodT-pmSacA6iKJNY0KSEWOdChlzGZcTDWOYi4RN0uZvb2fZjANdn_gEaqko10A4uozGJPCsPx0vFTqr9T52FMuusqZX9zCjJtuAzDz77D97bLvYbhryG4tf0Q5p_A212fdA</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Adachi, Kristina</creator><creator>Song, Sophie X</creator><creator>Kao, Roy L</creator><creator>Van Dyne, Elizabeth</creator><creator>Kempert, Pamela</creator><creator>Deville, Jaime G</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160801</creationdate><title>Herpes Zoster Meningitis Presenting With a Cerebrospinal Fluid Leukemoid Reaction in an Adolescent With preB-ALL in Remission</title><author>Adachi, Kristina ; Song, Sophie X ; Kao, Roy L ; Van Dyne, Elizabeth ; Kempert, Pamela ; Deville, Jaime G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-a2acd04623634102f738c2a57c236f2c033e4df98419fe8cb475378f63587b493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Blast Crisis</topic><topic>Female</topic><topic>Herpes Zoster - cerebrospinal fluid</topic><topic>Herpes Zoster - etiology</topic><topic>Humans</topic><topic>Leukemoid Reaction - cerebrospinal fluid</topic><topic>Leukemoid Reaction - etiology</topic><topic>Meningitis, Viral - cerebrospinal fluid</topic><topic>Meningitis, Viral - etiology</topic><topic>Precursor B-Cell Lymphoblastic Leukemia-Lymphoma - complications</topic><topic>Precursor B-Cell Lymphoblastic Leukemia-Lymphoma - pathology</topic><topic>Recurrence</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adachi, Kristina</creatorcontrib><creatorcontrib>Song, Sophie X</creatorcontrib><creatorcontrib>Kao, Roy L</creatorcontrib><creatorcontrib>Van Dyne, Elizabeth</creatorcontrib><creatorcontrib>Kempert, Pamela</creatorcontrib><creatorcontrib>Deville, Jaime G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric hematology/oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adachi, Kristina</au><au>Song, Sophie X</au><au>Kao, Roy L</au><au>Van Dyne, Elizabeth</au><au>Kempert, Pamela</au><au>Deville, Jaime G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Herpes Zoster Meningitis Presenting With a Cerebrospinal Fluid Leukemoid Reaction in an Adolescent With preB-ALL in Remission</atitle><jtitle>Journal of pediatric hematology/oncology</jtitle><addtitle>J Pediatr Hematol Oncol</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>38</volume><issue>6</issue><spage>476</spage><epage>478</epage><pages>476-478</pages><issn>1077-4114</issn><eissn>1536-3678</eissn><abstract>A 19-year-old girl with a history of precursor B acute lymphoblastic leukemia in remission presented with fever, headache, and a skin rash. Cerebrospinal fluid (CSF) examination reported pleocytosis with blast-like cells concerning for a central nervous system leukemic relapse. After the patient showed significant improvement on intravenous acyclovir, a repeat lumbar puncture revealed normalization of CSF. The abnormal CSF cells were reviewed and ultimately determined to be activated and atypical lymphocytes. The patient recovered uneventfully. Atypical lymphocytes resembling leukemic blasts are an unusual finding in viral meningitis. Varicella zoster virus reactivation should be considered during initial evaluation for central nervous system relapse of leukemia.</abstract><cop>United States</cop><pmid>27322719</pmid><doi>10.1097/MPH.0000000000000614</doi><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 1077-4114 |
| ispartof | Journal of pediatric hematology/oncology, 2016-08, Vol.38 (6), p.476-478 |
| issn | 1077-4114 1536-3678 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Blast Crisis Female Herpes Zoster - cerebrospinal fluid Herpes Zoster - etiology Humans Leukemoid Reaction - cerebrospinal fluid Leukemoid Reaction - etiology Meningitis, Viral - cerebrospinal fluid Meningitis, Viral - etiology Precursor B-Cell Lymphoblastic Leukemia-Lymphoma - complications Precursor B-Cell Lymphoblastic Leukemia-Lymphoma - pathology Recurrence Young Adult |
| title | Herpes Zoster Meningitis Presenting With a Cerebrospinal Fluid Leukemoid Reaction in an Adolescent With preB-ALL in Remission |
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