Focal Encephalitis Following Varicella-Zoster Virus Reactivation Without Rash in a Healthy Immunized Young Adult

Herein we describe an episode of focal varicella-zoster virus (VZV) encephalitis in a healthy young man with neither rash nor radicular pain. The symptoms began with headaches and seizures, after which magnetic resonance imaging detected a single hyperintense lesion in the left temporal lobe. Becaus...

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Veröffentlicht in:The Journal of infectious diseases 2014-09, Vol.210 (5), p.713-716
Hauptverfasser: Halling, Geoffrey, Giannini, Caterina, Britton, Jeffrey W., Lee, Ricky W., Watson, Robert E., Terrell, Christine L., Parney, Ian F., Buckingham, Erin M., Carpenter, John E., Grose, Charles
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container_issue 5
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container_title The Journal of infectious diseases
container_volume 210
creator Halling, Geoffrey
Giannini, Caterina
Britton, Jeffrey W.
Lee, Ricky W.
Watson, Robert E.
Terrell, Christine L.
Parney, Ian F.
Buckingham, Erin M.
Carpenter, John E.
Grose, Charles
description Herein we describe an episode of focal varicella-zoster virus (VZV) encephalitis in a healthy young man with neither rash nor radicular pain. The symptoms began with headaches and seizures, after which magnetic resonance imaging detected a single hyperintense lesion in the left temporal lobe. Because of the provisional diagnosis of a brain tumor, the lesion was excised and submitted for pathological examination. No tumor was found. But the tissue immunostained positively for VZV antigens, and wild-type VZV sequences were detected. In short, this case represents VZV reactivation, most likely in the trigeminal ganglion, in the absence of clinical herpes zoster.
doi_str_mv 10.1093/infdis/jiu137
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subjects Biological and medical sciences
Brain - diagnostic imaging
Brain - pathology
Chickenpox
Chickenpox vaccines
DNA, Viral - genetics
DNA, Viral - isolation & purification
Encephalitis, Varicella Zoster - diagnosis
Encephalitis, Varicella Zoster - pathology
Encephalitis, Varicella Zoster - physiopathology
Exanthema
Exanthema - pathology
Fundamental and applied biological sciences. Psychology
Herpes zoster
Herpesvirus 3, Human - immunology
Herpesvirus 3, Human - isolation & purification
Human herpesvirus 3
Humans
Immunohistochemistry
Infectious diseases
Magnetic Resonance Imaging
Major and Brief Reports
Male
Medical sciences
Microbiology
Miscellaneous
Neurons
Pain - physiopathology
Radiography
Seizures - diagnosis
Seizures - etiology
Temporal lobe
Trigeminal ganglion
Varicella zoster encephalitis
Varicella-zoster virus
Virology
Virus Activation
VIRUSES
Young Adult
title Focal Encephalitis Following Varicella-Zoster Virus Reactivation Without Rash in a Healthy Immunized Young Adult
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