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Herpes zoster and meningitis in an immunocompetent child: a case report

Ryu Yasuda^1,2, Kisei Minami³, Akira Ogawa³

¹Department of General Pediatrics, Nagano Children's Hospital, Nagano, Japan. yasuryu@gifu-u.ac.jp.

Journal of Medical Case Reports

|June 16, 2019

Abstract

Background:

Development of neurological complications of varicella zoster virus reactivation is relatively uncommon, particularly in an immunocompetent child.

Case Presentation:

An 11-year-old Asian girl presented with headache and skin rash on her left chest. She was diagnosed with meningitis, and herpes zoster was confirmed by polymerase chain reaction using cerebrospinal fluid. Acyclovir was administered intravenously. Given the favorable evolution of the clinical course, she was discharged from the hospital on day 8 of her illness. She had no apparent sequelae or comorbidities at the time of the 6-week follow-up.

Conclusions:

Neurological complications such as meningitis due to varicella zoster virus reactivation are uncommon, especially in an immunocompetent child; no specific immune deficiency was identified in our patient. We conclude that, although rare, varicella zoster virus should be recognized as a potential cause of viral meningitis in immunocompetent children.

Keywords:

Acyclovir Herpes zoster Immunocompetent child Meningitis Varicella zoster virus

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