ISSN - 0973-0958

Pediatric Oncall Journal View Article

Meningitis due to Varicella-Zoster virus reactivation without rash in an immunocompetent adolescent
Susana Andreia Assunção de Almeida1,2, Joana Cleto Duarte da Costa Ribeiro3,4, Francisco Maria Fernandes Vinagre Pinhol Abrantes3, Tiago Filipe Proença dos Santos5, Ana Isabel Moreira Borges Mouzinho3, José Gonçalo Duque Pereira Monteiro Marques3.
1Infectious Diseases and Immunodeficiency’s Unit, Department of Pediatrics, Hospital de Santa Maria - Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal,
2Paediatric Department, Hospital de Cascais Dr. José de Almeida, Cascais, Portugal,
3Infectious Diseases and Immunodeficiency’s Unit, Department of Pediatrics, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal,
4Paediatric Department, Centro Hospitalar de Leiria, Leiria, Portugal,
5Neurology Unit, Department of Pediatrics, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal.
Abstract
Varicella-zoster virus is a neurotropic virus that after the primary infection, usually manifested as chickenpox, may reactivate with infection of the central nervous system. When no skin lesions are present, a high clinical suspicion is required to reach the diagnosis. We report a case of an adolescent boy with varicella-zoster virus reactivation with meningitis in the absence of a zoster rash.

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