Varicella Zoster Virus Meningoencephalitis Presenting with Elsberg Syndrome without a Rash in an Immunocompetent Patient

Masahiro Abe; Hideki Araoka; Muneyoshi Kimura; Akiko Yoneyama

doi:10.2169/internalmedicine.54.4341

Varicella Zoster Virus Meningoencephalitis Presenting with Elsberg Syndrome without a Rash in an Immunocompetent Patient

Intern Med. 2015;54(16):2065-7. doi: 10.2169/internalmedicine.54.4341. Epub 2015 Aug 15.

Authors

Masahiro Abe¹, Hideki Araoka, Muneyoshi Kimura, Akiko Yoneyama

Affiliation

¹ Department of Infectious Diseases, Toranomon Hospital, Japan.

PMID: 26278304
DOI: 10.2169/internalmedicine.54.4341

Abstract

Varicella zoster virus (VZV) infection usually manifests with a skin rash. To the best of our knowledge, this is the first report of a case of VZV meningoencephalitis presenting with Elsberg syndrome without a rash in an immunocompetent patient. Clinicians should consider the potential for VZV infection as well as herpes simplex virus infection in cases of aseptic meningitis accompanied by bladder and rectal disturbances, even in patients without any rash symptoms.

Publication types

Case Reports

MeSH terms

Acyclovir / administration & dosage
Antiviral Agents / administration & dosage
DNA, Viral / isolation & purification
Encephalitis, Varicella Zoster / diagnosis*
Encephalitis, Varicella Zoster / drug therapy
Encephalitis, Varicella Zoster / pathology
Fever / etiology*
Herpes Zoster / complications*
Herpes Zoster / drug therapy
Herpes Zoster / pathology
Herpesvirus 3, Human / isolation & purification*
Humans
Male
Meningoencephalitis / diagnosis*
Meningoencephalitis / drug therapy
Meningoencephalitis / pathology
Middle Aged
Skin / pathology*
Treatment Outcome

Substances

Antiviral Agents
DNA, Viral
Acyclovir