Varicella zoster virus infection presenting as isolated diplopia: a case report

BMC Infectious Diseases

Pasquale Narciso¹  Alessandra Oliva¹  Amina Abdeddaim¹  Laura Vincenzi¹  Simonetta Galgani²  Angela Testa¹  Andrea Mariano¹  Alessia Rianda¹  Raffaella Pisapia¹ 

[1] Clinical Department, First Division, National Institute for Infectious Diseases “Lazzaro Spallanzani”, Via Portuense 292, 00149, Rome, Italy;Neuroscience Department, “San Camillo Forlanini” hospital, Rome, Italy

关键词: Clinical awareness;    Molecular diagnosis;    Cranial nerve palsy;    Varicella zoster virus;   

Others  :  1149261
DOI  :  10.1186/1471-2334-13-138

 received in 2012-07-07, accepted in 2013-03-06,  发布年份 2013

【 摘 要 】

Background

Involvement of trochlear nerve during Varicella Zoster Virus (VZV) Infection has been rarely described, and always in association with skin rash.

Case presentation

We describe the case of a patient with VZV infection presenting as isolated diplopia due to fourth cranial nerve palsy. The diagnosis has been obtained through the application of a standardized molecular diagnostic panel, and diplopia resolved after specific antiviral and corticosteroid therapy.

Conclusion

This case evidences that clinicians should be aware of atypical VZV infection, even in the absence of the typical skin rash.

【 授权许可】

   
2013 Pisapia et al.; licensee BioMed Central Ltd.

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