Lizzi Jared, Hill Tyler, Jakubowski Julian
Memorial Health System, Department of Emergency Medicine, Marietta, Ohio.
Clin Pract Cases Emerg Med. 2019 Oct 14;3(4):380-382. doi: 10.5811/cpcem.2019.8.43010. eCollection 2019 Nov.
Varicella zoster virus in the adult patient most commonly presents as shingles. Shingles is a painful vesicular eruption localized to a specific dermatome of the body. One of the potential complications of this infection is involvement of the central nervous system causing encephalitis. An increased risk of this complication is associated with the immunocompromised patient. In this case report, we review the history and physical exam findings that should raise clinical suspicion for varicella zoster encephalitis, as well as the epidemiology, risk factors, treatment, and prognosis of this type of infection.
水痘带状疱疹病毒在成年患者中最常表现为带状疱疹。带状疱疹是一种局限于身体特定皮节的疼痛性水疱疹。这种感染的潜在并发症之一是累及中枢神经系统导致脑炎。免疫功能低下的患者发生这种并发症的风险增加。在本病例报告中,我们回顾了应引起对水痘带状疱疹脑炎临床怀疑的病史和体格检查结果,以及这种感染类型的流行病学、危险因素、治疗和预后。