Korean J Dermatol.
1998 Aug;36(4):707-711.
A Case of Herpes Zoster Meningoencephaliti
- Affiliations
-
- 1Department of Dermatology, National Medical Center, Seoul, Korea.
- 2Department of Neurology, National Medical Center, Seoul, Korea.
Abstract
- Herpes zoster can be associated with a number of neurologic complications but meningoencephalitis with herpes zoster is rarely seen. We report a case of herpes zoster ophthalmicus followed by the meningoencephalitis, which developed during treatment with acyclovir infusion. A 73-year-old male patient developed a fever and mental confusion on the third day of the treatment. Neurological examination revealed neck stiffess, increased deep tendon reflex and positive Babinski sign. The cerebrospinal fluid examination revealed increased opening pressure, increased protein and a lymphocytic pleocytosis. The glucose level was decreased, which is a very unusual feature in viral meningoencephalitis.
