Brivudine for treatment of varicella-zoster virus encephalitis
Zhaozhao Shao1, Feiying Guo2, Shunli Tang2
1Department of Gastroenterology, Huzhou Central Hospital, Fifth School of Clinical Medicine of Zhejiang Chinese Medical University, Huzhou, China.
Objectives:
Varicella-zoster virus (VZV) encephalitis is a rare but severe complication of VZV. Intravenous acycloviris the standard treatment, with the potential side effect of renal impairment that can complicate the therapeutic course and pose an obstacle to recovery. The development of novel antiviral drugs and the optimization of clinical management become an urgent necessity.
Methods And Results:
We describe the first case of VZV encephalitis with intolerance to intravenous acyclovir that was successfully treated with oral brivudine monotherapy without discernible sequelae.
Conclusion:
Brivudine is a promising therapy for VZV encephalitis, particularly in cases intolerant to traditional antivirals or complicated by renal impairment.
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