Cranial nerve involvement in varicella zoster virus after renal transplantation
| Autor: | Jennifer Nielsen Fan, Hameed Ali, Jerry Fan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry viruses Varicella zoster virus General Medicine Emergency department Generalized weakness Varicella Zoster Encephalitis medicine.disease_cause Cranial nerve involvement humanities Transplantation Case Studies Renal transplant otorhinolaryngologic diseases Medicine business |
| Zdroj: | Proc (Bayl Univ Med Cent) |
| Popis: | This case describes a 60-year-old immunosuppressed man after renal transplant who presented to the emergency department with 1 week of generalized weakness, a 20-lb unintentional weight loss, sore throat, dysarthria, dysphagia, cough, and shortness of breath. Additionally, he developed tinnitus, headaches, photophobia, and neck stiffness. He underwent an extensive workup including a lumbar puncture with meningitis and encephalitis panel, which was positive for varicella zoster virus. He never developed a dermatomal vesicular rash but had persistent dysphagia and aspiration and was eventually diagnosed with Vernet syndrome. This case highlights theories for the increase in varicella zoster virus encephalitis cases causing neurologic symptoms and proposes that this trend is likely to continue. |
| Databáze: | OpenAIRE |
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