Multifocal vasculopathy due to varicella-zoster virus (VZV): Serial analysis of VZV DNA and intrathecal synthesis of VZV antibody in cerebrospinal fluid

被引:13
|
作者
Kronenberg, A [1 ]
Schupbach, R
Schuknecht, B
Bossart, W
Weber, R
Gilden, DH
Speck, RF
机构
[1] Univ Zurich Hosp, Div Infect Dis & Hosp Epidemiol, CH-8091 Zurich, Switzerland
[2] Univ Zurich Hosp, Dept Internal Med, CH-8091 Zurich, Switzerland
[3] Univ Zurich Hosp, Inst Neuroradiol, CH-8091 Zurich, Switzerland
[4] Univ Zurich Hosp, Inst Med Virol, CH-8091 Zurich, Switzerland
[5] Univ Colorado, Hlth Sci Ctr, Dept Neurol, Denver, CO 80262 USA
[6] Univ Colorado, Hlth Sci Ctr, Dept Microbiol, Denver, CO 80262 USA
关键词
D O I
10.1086/341492
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Recognition of multifocal vasculopathy due to varicella-zoster virus (VZV) is often problematic. We describe a human immunodeficiency virus-infected patient who had progressive central nervous system disease for >3 months. Both VZV DNA and antibody were detected in cerebrospinal fluid (CSF) specimens; serial polymerase chain reaction analyses confirmed the diagnosis and guided the duration of therapy. Reduced ratios of VZV antibody in serum to that in CSF were also demonstrated.
引用
收藏
页码:330 / 333
页数:4
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