16 May 2019
: Case report 
Varicella Zoster Meningitis with Hypoglycorrhachia on Cerebrospinal Fluid (CSF) Analysis in a Young Immunocompetent Host without a Rash
Unusual clinical course, Challenging differential diagnosis
Mustafa Fadhel1AEF*, Natasha Campbell1AEF, Swapnil Patel1AEF, Arman Mushtaq1AEF, Lito Fune1AEF, Arif Asif1AEF, Mohammad A. Hossain1AEFDOI: 10.12659/AJCR.915300
Am J Case Rep 2019; 20:701-704
Abstract
BACKGROUND: Varicella zoster virus (VZV) is a common viral infection, with primary infection presenting as fevers and pruritic vesicular rash. After staying dormant in the dorsal root ganglia, reactivation can lead to secondary infection. Meningitis is a rare a complication of VZV infection.
CASE REPORT: We report a case of a 44-year-old woman with no past medical history, presenting with severe frontal headache without meningeal signs or fevers, found to have VZV meningitis. CSF analysis revealed hypoglycorrhachia and she was treated successfully with combination of intravenous acyclovir and oral valacyclovir.
CONCLUSIONS: VZV meningitis can present with subtle clinical signs and symptoms and should be considered as a possible etiology for headaches without identifiable cause.
Keywords: Headache Disorders, Herpesvirus 3, Human, Meningitis, Aseptic, Glucose, Meningitis, Viral, Varicella Zoster Virus Infection
In Press
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.946869
Case report 
Am J Case Rep In Press; DOI: 10.12659/AJCR.947011
Case report 
Am J Case Rep In Press; DOI: 10.12659/AJCR.946427
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.946551
Most Viewed Current Articles
21 Jun 2024 : Case report
94,176
DOI :10.12659/AJCR.944371
Am J Case Rep 2024; 25:e944371
07 Mar 2024 : Case report
51,416
DOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
20 Nov 2023 : Case report 
28,562
DOI :10.12659/AJCR.941424
Am J Case Rep 2023; 24:e941424
18 Feb 2024 : Case report 
23,092
DOI :10.12659/AJCR.943030
Am J Case Rep 2024; 25:e943030