Varicella zoster virus meningoencephalitis presenting as orbital myositis - a case report

被引:0
作者
Gowda, Akash [1 ,2 ,3 ]
Tong, Jessica Y. [1 ,2 ]
Selva, Dinesh [1 ,2 ]
机构
[1] Univ Adelaide, South Australian Inst Ophthalmol, Adelaide, Australia
[2] Royal Adelaide Hosp, Dept Ophthalmol, Adelaide, Australia
[3] Royal Adelaide Hosp, Discipline Ophthalmol & Visual Sci, Adelaide, SA 5000, Australia
来源
ORBIT-THE INTERNATIONAL JOURNAL ON ORBITAL DISORDERS-OCULOPLASTIC AND LACRIMAL SURGERY | 2024年 / 43卷 / 05期
关键词
Orbital myositis; varicella zoster; meningoencephalitis; CLINICAL-FEATURES;
D O I
10.1080/01676830.2023.2248632
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
The authors present a case of meningoencephalitis caused by Varicella zoster virus (VZV) infection, which initially manifested as orbital myositis followed by rapid progression to orbital apex syndrome, meningoencephalitis and death. There was no development of a cutaneous rash. An orbital biopsy demonstrated VZV infection, which was confirmed on a lumbar puncture. In this case, VZV meningoencephalitis was not responsive to steroid or antiviral therapy. This case highlights an atypical presentation of VZV with orbital myositis preceding intracranial involvement.
引用
收藏
页码:645 / 648
页数:4
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