Multiple cerebral infarcts due to varicella-zoster virus large-vessel vasculopathy in an immunocompetent adult without skin involvement

Clin Infect Dis. 2003 Jul 1;37(1):e16-8. doi: 10.1086/375693. Epub 2003 Jun 24.

Abstract

We report the case of a 52-year-old immunocompetent man with varicella-zoster virus large-vessel vasculopathy and multiple bilateral cerebral infarcts who had no history of skin involvement. Etiologic diagnosis was made by isolation of varicella-zoster virus from a cerebrospinal fluid specimen. The patient had marked improvement in mental status after acyclovir therapy was initiated.

Publication types

  • Case Reports

MeSH terms

  • Acyclovir / therapeutic use
  • Adult
  • Antiviral Agents / therapeutic use
  • Cerebral Infarction / drug therapy
  • Cerebral Infarction / etiology*
  • Cerebral Infarction / virology
  • Herpes Zoster / cerebrospinal fluid
  • Herpes Zoster / complications*
  • Herpes Zoster / drug therapy
  • Herpesvirus 3, Human / drug effects
  • Herpesvirus 3, Human / isolation & purification*
  • Humans
  • Immunocompetence
  • Male
  • Skin

Substances

  • Antiviral Agents
  • Acyclovir