Varicella Zoster Virus Meningoencephalitis Presenting with Elsberg Syndrome without a Rash in an Immunocompetent Patient

Masahiro Abe; Hideki Araoka; Muneyoshi Kimura; Akiko Yoneyama

doi:10.2169/internalmedicine.54.4341

CASE REPORTS

Varicella Zoster Virus Meningoencephalitis Presenting with Elsberg Syndrome without a Rash in an Immunocompetent Patient

Masahiro Abe, Hideki Araoka, Muneyoshi Kimura, Akiko Yoneyama

Author information

Keywords: varicella zoster virus, meningoencephalitis, Elsberg syndrome

JOURNAL OPEN ACCESS

2015 Volume 54 Issue 16 Pages 2065-2067

DOI https://doi.org/10.2169/internalmedicine.54.4341

Details

Abstract

Varicella zoster virus (VZV) infection usually manifests with a skin rash. To the best of our knowledge, this is the first report of a case of VZV meningoencephalitis presenting with Elsberg syndrome without a rash in an immunocompetent patient. Clinicians should consider the potential for VZV infection as well as herpes simplex virus infection in cases of aseptic meningitis accompanied by bladder and rectal disturbances, even in patients without any rash symptoms.

Corresponding author

Register with J-STAGE for free!