Neurologic complications can occur with varicella-zoster virus (VZV) infection, usually after vesicular exanthem. We report the case of a previously healthy 14-year-old boy with aseptic meningitis as a result of reactivated-VZV infection without exanthem. Diagnosis was made by detection of VZV-DNA in cerebrospinal fluid. VZV should be considered in cases of aseptic meningitis, even without a history of exanthem or immune compromise.
From the *Department of Paediatric Neurology, National Children's Hospital, Tallaght; †Our Lady's Children's Hospital; ‡Department of Paediatric Infectious Diseases, Our Lady's Children's Hospital, Crumlin, Ireland; §National Children's Hospital, Tallaght; and ∥Department of Paediatrics, University of Dublin, Trinity College, Dublin, Ireland.
Accepted for publication November 2, 2007.
Address for correspondence: T. Ronan Leahy, MB, MRCPI, Apartment 309, 77 Elm Street, Toronto, ON, Canada M5G 1H4. E-mail: firstname.lastname@example.org.