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VARICELLA ZOSTER VIRUS ASSOCIATED ACUTE ASEPTIC MENINGITIS WITHOUT EXANTHEM IN AN IMMUNOCOMPETENT 14-YEAR-OLD BOY

Leahy, T Ronan MB, MRCPI*†‡; Webb, David W. M. MD, FRCPI*; Hoey, Hilary MB, FRCPI§∥; Butler, Karina M. MB, FRCPI‡

Pediatric Infectious Disease Journal: April 2008 - Volume 27 - Issue 4 - pp 362-363
doi: 10.1097/INF.0b013e318160ee11
Brief Reports

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: tronanleahy@hotmail.com.

© 2008 Lippincott Williams & Wilkins, Inc.