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免疫功能正常患者中水痘带状疱疹脑膜炎模拟假性脑瘤:一例报告及文献综述

Varicella Zoster meningitis as a mimicker of pseudotumor cerebri in an immunocompetent patient: A case report and literature review.

作者信息

Ali Yousra, Habib Mhd Baraa, Safan Abeer, Sawaf Bisher, Elzouki Abdelnaser

机构信息

Internal Medicine Department, Hamad Medical Corporation, Doha, Qatar E-mail:

Neurology Department, Hamad Medical Corporation, Doha, Qatar.

出版信息

Qatar Med J. 2022 Jun 4;2022(3):21. doi: 10.5339/qmj.2022.21. eCollection 2022.

Abstract

Varicella-zoster (VZ) meningitis is uncommon in patients with immunocompetence and usually presents with typical rash and fever. However, VZ meningitis can rarely present with symptoms of intracranial hypertension without the classic manifestations. Herein, we describe a 17-year-old female teen who presented with intractable headache and vomiting and diagnosed with VZ meningitis. Her symptoms remarkably improved after a lumbar puncture and acyclovir therapy.

摘要

水痘-带状疱疹(VZ)脑膜炎在免疫功能正常的患者中并不常见,通常表现为典型的皮疹和发热。然而,VZ脑膜炎很少会在没有典型表现的情况下出现颅内高压症状。在此,我们描述一名17岁女性青少年,她因顽固性头痛和呕吐就诊,被诊断为VZ脑膜炎。在进行腰椎穿刺和阿昔洛韦治疗后,她的症状明显改善。

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Herpes Zoster Meningitis in a Young, Immunocompetent Adult.年轻免疫功能正常成人的带状疱疹性脑膜炎。
J Emerg Med. 2021 May;60(5):e99-e101. doi: 10.1016/j.jemermed.2020.12.029. Epub 2021 Feb 10.

本文引用的文献

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Risk Factors for Herpes Zoster Infection: A Meta-Analysis.带状疱疹感染的危险因素:一项荟萃分析。
Open Forum Infect Dis. 2020 Jan 9;7(1):ofaa005. doi: 10.1093/ofid/ofaa005. eCollection 2020 Jan.
8
Immunobiology of Varicella-Zoster Virus Infection.水痘-带状疱疹病毒感染的免疫生物学。
J Infect Dis. 2018 Sep 22;218(suppl_2):S68-S74. doi: 10.1093/infdis/jiy403.

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