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Atypical Presentation of Aseptic Meningitis Due to Varicella Zoster: A Case Report
1WellSpan York Hospital, Department of Emergency Medicine, York, Pennsylvania.
Introduction:
Varicella zoster virus (VZV) meningitis is primarily an infection of the immuno-compromised. However, it can also affect immunocompetent individuals. Reactivation of VZV typically presents with a distinct dermatomal rash suggestive of varicella zoster, but there have also been reports of VZV meningitis presenting without a rash.
Case Report:
We describe a case of VZV meningitis in a healthy, 30-year-old male presenting to the emergency department shortly after receiving his first coronavirus disease 2019 vaccination. He was treated with intravenous acyclovir and then discharged home on oral valacyclovir.
Conclusion:
Emergency physicians should consider aseptic meningitis in immunocompetent patients presenting with atypical headaches in this population.
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