Iyer Sujit, Mittal Manoj K, Hodinka Richard L
The Children's Hospital of Philadelphia, PA 19104-4399, USA.
Ann Emerg Med. 2009 Jun;53(6):792-5. doi: 10.1016/j.annemergmed.2008.10.023. Epub 2008 Nov 22.
Herpes zoster complicated by meningitis has been mainly reported in immunocompromised patients after reactivation of wild-type varicella-zoster virus. We present one of the first cases of aseptic meningitis after herpes zoster caused by reactivation of vaccine-type varicella-zoster virus in an immunocompetent child. We also highlight the increasing role of both wild-type and vaccine strains of varicella-zoster virus as a cause of viral meningoencephalitis and the use of appropriate laboratory tools to rapidly and accurately identify the virus in order to provide prompt patient care and management.
带状疱疹并发脑膜炎主要见于免疫功能低下患者,由野生型水痘-带状疱疹病毒再激活所致。我们报告了首例免疫功能正常儿童因疫苗株水痘-带状疱疹病毒再激活引起带状疱疹后发生无菌性脑膜炎的病例。我们还强调了野生型和疫苗株水痘-带状疱疹病毒作为病毒性脑膜脑炎病因的作用日益增加,以及使用适当的实验室工具快速准确地鉴定病毒,以便为患者提供及时的护理和管理。