J Korean Neurol Assoc.  2006 Dec;24(6):608-610.

A Case of Encephalitis, Meningoradiculitis and Intestinal Pseudo-Obstruction Caused by Varicella-Zoster Virus

Affiliations
  • 1Department of Neurology, Chonnam National University Medical School, Gwangju, Korea. shleemd@freechal.com

Abstract

A 19-year-old woman developed painful abdominal distension, headache and mental deterioration. Several days later, she complained of paraparesis, urinary incontinence and diuresis. Intestinal pseudo-obstruction was detected by a laparoscopic examination. Brain MRI showed encephalitis with a high signal intensity of the corpus callosum on diffusion-weighted images. In serum and CSF, the varicella-zoster virus (VZV) IgM antibody was positive. After treatment with steroids and acyclovir, her symptoms improved. We report a patient with intestinal pseudo-obstruction, encephalitis and meningoradiculitis caused by VZV without skin lesions.

Keyword

Varicella-zoster virus; Encephalitis; Intestinal pseudo-obstruction

MeSH Terms

Acyclovir
Brain
Corpus Callosum
Diuresis
Encephalitis*
Female
Headache
Herpesvirus 3, Human*
Humans
Immunoglobulin M
Intestinal Pseudo-Obstruction*
Magnetic Resonance Imaging
Paraparesis
Skin
Steroids
Urinary Incontinence
Young Adult
Acyclovir
Immunoglobulin M
Steroids
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