Al-Mula Abed Yasser W
Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman.
Qatar Med J. 2016 Jan 26;2015(2):19. doi: 10.5339/qmj.2015.19. eCollection 2015.
We describe an elderly gentleman with end stage renal disease on haemodialysis who presented with ophthalmic zoster infection and was discharged on oral acyclovir. He presented again a few days later with confusion and expressive dysphasia. Differential diagnosis was mainly between varicella-zoster virus (VZV) associated encephalitis versus acyclovir toxicity. Cerebrospinal fluid analysis confirmed the diagnosis of VZV associated encephalitis and the patient was treated with intravenous acyclovir and steroids with full recovery back to pre-admission neurological status.
我们描述了一位患有终末期肾病并接受血液透析的老年男性，他出现了眼部带状疱疹感染，出院时服用口服阿昔洛韦。几天后他再次就诊，出现意识模糊和表达性失语。鉴别诊断主要在水痘-带状疱疹病毒（VZV）相关脑炎与阿昔洛韦毒性之间。脑脊液分析确诊为VZV相关脑炎，患者接受静脉注射阿昔洛韦和类固醇治疗，完全恢复到入院前的神经状态。
