Department of Emergency Medicine, Kyoto Prefectural University of Medicine, Kaji-cho 465, Kamigyo-ku, Kyoto, 602-8566, Japan.
J Neurovirol. 2022 Dec;28(4-6):606-608. doi: 10.1007/s13365-022-01086-z. Epub 2022 Sep 16.
Varicella-zoster virus (VZV) meningitis is sometimes associated with herpes zoster, which is also associated with various other infectious diseases. However, there are limited case reports of VZV meningitis with concomitant infectious diseases. Herein, we report a unique case of VZV meningitis concomitant with a pyogenic liver abscess. VZV meningitis was associated with herpes zoster ophthalmicus, Klebsiella pneumoniae bacteremia, and liver abscess. When VZV meningitis is suspected, clinicians should be aware of its relatively rare epidemiology, nonspecific presentation, and many background risks shared with other infections and should never omit thorough examinations to rule out other infectious causes.
水痘带状疱疹病毒（VZV）脑膜炎有时与带状疱疹有关，带状疱疹也与各种其他传染病有关。然而，伴有其他传染病的 VZV 脑膜炎的病例报告有限。在此，我们报告一例独特的 VZV 脑膜炎并发化脓性肝脓肿。VZV 脑膜炎与带状疱疹性眼病、肺炎克雷伯菌菌血症和肝脓肿有关。当怀疑 VZV 脑膜炎时，临床医生应意识到其相对罕见的流行病学、非特异性表现以及与其他感染共有的许多背景风险，决不能省略彻底检查以排除其他感染原因。
