Chronic active VZV infection manifesting as zoster sine herpete, zoster paresis and myelopathy

被引：13
作者：
Morita, Y
Osaki, Y
Doi, Y
Forghani, B
Gilden, DH
机构：
[1] Univ Colorado, Ctr Hlth Sci, Dept Microbiol, Denver, CO 80262 USA
[2] Kochi Med Sch, Dept Med & Geriatr, Kochi, Japan
[3] Calif Dept Hlth Serv, Div Communicable Dis Control, Viral & Rickettsial Dis Lab, Richmond, CA USA
[4] Univ Colorado, Ctr Hlth Sci, Dept Neurol, Denver, CO 80262 USA
来源：
JOURNAL OF THE NEUROLOGICAL SCIENCES | 2003年 / 212卷 / 1-2期
关键词：
zoster sine herpete; zoster paresis; zoster myelopathy;
D O I：
10.1016/S0022-510X(03)00081-9
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
After lumbar-distribution zoster, an HTLV-1-seropositive woman developed chronic radicular sacral-distribution pain (zoster sine herpete), cervical-distribution zoster paresis and thoracic-distribution myelopathy. Detection of anti-varicella zoster virus (VZV) IgM and VZV IgG antibody in cerebrospinal fluid (CSF), with reduced serum/CSF ratios of anti-VZV IgG compared to normal serum/CSF ratios for albumin and total IgG, proved that VZV caused the protracted neurological complications. Diagnosis by antibody testing led to aggressive antiviral treatment and a favorable outcome. (C) 2003 Elsevier Science B.V. All rights reserved.
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页码：7 / 9
页数：3
相关论文
共 11 条
[1]   FATAL VARICELLA-ZOSTER VIRUS MENINGORADICULITIS WITHOUT SKIN INVOLVEMENT [J].
DUELAND, AN ;
DEVLIN, M ;
MARTIN, JR ;
MAHALINGAM, R ;
COHRS, R ;
MANZ, H ;
TROMBLEY, I ;
GILDEN, D .
ANNALS OF NEUROLOGY, 1991, 29 (05) :569-572
[2]  
Forghani B., 1986, METHOD ENZYMAT AN, V10, P267
[3]   VARICELLA-ZOSTER VIRUS MYELITIS - AN EXPANDING SPECTRUM [J].
GILDEN, DH ;
BEINLICH, BR ;
RUBINSTIEN, EM ;
STOMMEL, E ;
SWENSON, R ;
RUBINSTEIN, D ;
MAHALINGAM, R .
NEUROLOGY, 1994, 44 (10) :1818-1823
[4]   ZOSTER SINE HERPETE, A CLINICAL VARIANT [J].
GILDEN, DH ;
WRIGHT, RR ;
SCHNECK, SA ;
GWALTNEY, JM ;
MAHALINGAM, R .
ANNALS OF NEUROLOGY, 1994, 35 (05) :530-533
[5]   Neurologic complications of the reactivation of varicella-zoster virus. [J].
Gilden, DH ;
Kleinschmidt-DeMasters, BK ;
LaGuardia, JJ ;
Mahalingam, R ;
Cohrs, RJ .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (09) :635-645
[6]   Brief report - Two patients with unusual forms of varicella-zoster virus vasculopathy [J].
Gilden, DH ;
Lipton, HL ;
Wolf, JS ;
Akenbrandt, W ;
Smith, JE ;
Mahalingam, R ;
Forghani, B .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (19) :1500-1503
[7]   The value of cerebrospinal fluid antiviral antibody in the diagnosis of neurologic disease produced by varicella zoster virus [J].
Gilden, DH ;
Bennett, JL ;
Kleinschmidt-DeMasters, BK ;
Song, DD ;
Yee, AS ;
Steiner, I .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 1998, 159 (02) :140-144
[8]  
REIBER H, 1991, CLIN CHEM, V37, P1153
[9]  
TAKAYAMA M, 1999, NIPPON RINSHO, V57, pS260
[10]   SEGMENTAL ZOSTER PARESIS - DISEASE PROFILE [J].
THOMAS, JE ;
HOWARD, FM .
NEUROLOGY, 1972, 22 (05) :459-+
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