Abstract
We report the case of a 52-year-old immunocompetent man with varicella-zoster virus large-vessel vasculopathy and multiple bilateral cerebral infarcts who had no history of skin involvement. Etiologic diagnosis was made by isolation of varicella-zoster virus from a cerebrospinal fluid specimen. The patient had marked improvement in mental status after acyclovir therapy was initiated.
MeSH terms
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Acyclovir / therapeutic use
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Adult
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Antiviral Agents / therapeutic use
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Cerebral Infarction / drug therapy
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Cerebral Infarction / etiology*
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Cerebral Infarction / virology
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Herpes Zoster / cerebrospinal fluid
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Herpes Zoster / complications*
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Herpes Zoster / drug therapy
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Herpesvirus 3, Human / drug effects
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Herpesvirus 3, Human / isolation & purification*
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Humans
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Immunocompetence
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Male
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Skin
Substances
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Antiviral Agents
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Acyclovir