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oa Varicella-zoster virus associated encephalitis in a patient undergoing haemodialysis
- Source: Qatar Medical Journal, Volume 2015, Issue 2, Dec 2015, 19
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- 12 October 2015
- 12 January 2016
- 26 January 2016
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Abstract
We describe an elderly gentleman with end stage renal disease on haemodialysis who presented with ophthalmic zoster infection and was discharged on oral acyclovir. He presented again a few days later with confusion and expressive dysphasia. Differential diagnosis was mainly between varicella-zoster virus (VZV) associated encephalitis versus acyclovir toxicity. Cerebrospinal fluid analysis confirmed the diagnosis of VZV associated encephalitis and the patient was treated with intravenous acyclovir and steroids with full recovery back to pre-admission neurological status.
© 2015 Al-Mula Abed, licensee Bloomsbury Qatar Foundation Journals.