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Varicella zoster virus infection presenting as isolated diplopia: a case report
Raffaella Pisapia1, Alessia Rianda, Andrea Mariano
1Clinical Department, First Division, National Institute for Infectious Diseases Lazzaro Spallanzani, Via Portuense 292, 00149, Rome, Italy. raffaella.pisapia@inmi.it
Background:
Involvement of trochlear nerve during Varicella Zoster Virus (VZV) Infection has been rarely described, and always in association with skin rash.
Case Presentation:
We describe the case of a patient with VZV infection presenting as isolated diplopia due to fourth cranial nerve palsy. The diagnosis has been obtained through the application of a standardized molecular diagnostic panel, and diplopia resolved after specific antiviral and corticosteroid therapy.
Conclusion:
This case evidences that clinicians should be aware of atypical VZV infection, even in the absence of the typical skin rash.
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