Syeda Sahra1, Abdullah Jahangir2, Allison Glaser2, Neville Mobarakai2, Ahmad Jahangir3. 1. Department of Internal Medicine, Hofstra School of Medicine, Staten Island University Hospital, 475-Seaview Avenue, Staten Island, NY, 10305, USA. ssahra@northwell.edu. 2. Department of Internal Medicine, Hofstra School of Medicine, Staten Island University Hospital, 475-Seaview Avenue, Staten Island, NY, 10305, USA. 3. King Edward Medical University, Lahore, 10305, Pakistan.
Abstract
BACKGROUND: Varicella-zoster virus (VZV) is a known cause of aseptic meningitis, with a predisposition for an immunocompromised population. A dermatomal rash usually accompanies aseptic meningitis secondary to VZV. CASE PRESENTATION: We report the case of a 31-year-old male with a history of chickenpox in childhood and recent shingles who presented with severe frontal headaches secondary to VZV meningitis. The patient had also recently received the measles-mumps-rubella (MMR) vaccine. He recovered without any neurological sequala. CONCLUSION: This case report describes an immunocompetent patient with recent MMR vaccination who developed aseptic meningitis secondary to VZV without any dermatomal involvement (Zoster Sine Herpete).
BACKGROUND:Varicella-zoster virus (VZV) is a known cause of aseptic meningitis, with a predisposition for an immunocompromised population. A dermatomal rash usually accompanies aseptic meningitis secondary to VZV. CASE PRESENTATION: We report the case of a 31-year-old male with a history of chickenpox in childhood and recent shingles who presented with severe frontal headaches secondary to VZV meningitis. The patient had also recently received the measles-mumps-rubella (MMR) vaccine. He recovered without any neurological sequala. CONCLUSION: This case report describes an immunocompetent patient with recent MMR vaccination who developed aseptic meningitis secondary to VZV without any dermatomal involvement (Zoster Sine Herpete).
Authors: M Kimura; H Kuno-Sakai; S Yamazaki; A Yamada; M Hishiyama; H Kamiya; K Ueda; T Murase; M Hirayama; A Oya; S Nozaki; R Murata Journal: Acta Paediatr Jpn Date: 1996-06