1/19. Concurrent myelitis and guillain-barre syndrome after varicella infection.myelitis and guillain-barre syndrome occurring concurrently after varicella infection is very rare. A 34-year-old man presented with progressive flaccid tetraparesis, facial palsy, respiratory failure, sensory loss and urinary incontinence one week after varicella infection. Clinical, imaging and electrodiagnostic studies supported the diagnosis of myelitis and Guillain-Barre syndrome. He improved with intravenous acyclovir and gammaglobulin.- - - - - - - - - - ranking = 1keywords = varicella (Clic here for more details about this article) |
2/19. Recurrent herpes zoster myelitis treated with human interferon alpha: a case report.Recurrent herpes zoster myelitis is very rare. However, a case was recently observed in our hospital. A 43-year-old woman developed myelitis 2 weeks after development of shingles. Her condition was improved by methylprednisolone. Seven months later, she developed myelitis after development of shingles again. Antibody against varicella-zoster (VZV), increased in the serum, but was negative in the cerebrospinal fluid. methylprednisolone was not sufficiently effective against this attack. The refractory sensory disturbance was improved by human interferon alpha (IFN-alpha). Natural killer cell activity, the helper T-cell/suppressor T-cell ratio and the kappa/lambda ratio of B-cells increased with clinical improvement. In this case, delayed-type hypersensitivity after VZV infection played a role in the occurrence of myelopathy and clinical improvement resulted from the immunosuppressive effects of IFN-alpha.- - - - - - - - - - ranking = 0.16666666666667keywords = varicella (Clic here for more details about this article) |
3/19. Persistent multiple pulmonary nodules in a nonimmunocompromised woman after varicella-related myelitis treated with acyclovir.Persistent multiple pulmonary nodules were observed on the chest X ray of a nonimmunocompromised woman 6 months after she was treated with acyclovir for a varicella-related myelitis without respiratory symptoms. Early antiviral therapy given for varicella infections might decrease the intensity of clinical symptoms without actually preventing the occurrence of varicella-zoster virus-related lesions such as the persistent pulmonary nodules reported here.- - - - - - - - - - ranking = 1.1666666666667keywords = varicella (Clic here for more details about this article) |
4/19. Varicella zoster-associated neurologic disease without skin lesions.We have investigated a group of cases with inflammatory neurologic disease and serologic evidence of varicella zoster virus activity without cutaneous vesicles. In agreement with experience, a case of cranial polyneuropathy with facial palsy and cases of aseptic meningitis were found. However, cases of acute polyneuropathy, myelitis, and encephalitis were also identified. Thus, it seems that the spectrum of neurologic disease associated with varicella zoster virus in the absence of skin lesions is considerably broader than previously recognized.- - - - - - - - - - ranking = 0.33333333333333keywords = varicella (Clic here for more details about this article) |
5/19. Transverse myelitis and hepatitis in varicella.We describe a case with several grave complications of varicella rarely encountered in previously healthy young individuals.- - - - - - - - - - ranking = 0.83333333333333keywords = varicella (Clic here for more details about this article) |
6/19. herpes zoster myelitis occurring during treatment for systemic lupus erythematosus.A 15-year-old girl with systemic lupus erythematosus suddenly developed fever, meningismus, and herpes zoster. Within 48 hours, transverse myelitis developed at the level of the nerve root involvement of the herpes zoster. Since both systemic lupus erythematosus and varicella-zoster have been reported to cause myelitis, therapy was initiated for both. The rapid and simultaneous resolution of both the herpes zoster and the neurologic deficits strongly supports the causal association of both with varicella-zoster. This is the second reported case of herpes zoster-associated transverse myelitis in a patient with systemic lupus erythematosus.- - - - - - - - - - ranking = 0.33333333333333keywords = varicella (Clic here for more details about this article) |
7/19. Postvaricella acute transverse myelitis: A case presentation and review of the literature.Although the complications and sequelae of varicella are rare, they can cause significant mortality and morbidity in both the normal and compromised patient. Eight cases of "pure" acute transverse myelitis (ATM) following varicella have previously been reported in the literature. We report the ninth case of postvaricella ATM in a 9-year-old girl. Her course was characterized by paraplegia, sensory loss, hyperesthesia, and incontinence of urine and feces. All patients, except ours, recovered fully from ATM.- - - - - - - - - - ranking = 1.1666666666667keywords = varicella (Clic here for more details about this article) |
8/19. herpes zoster myelitis: nervous system complications.Transverse myelitis after a zoster viral infection is an exceptional occurrence. In this case we documented an antibody activity against varicella zoster (V-Z) in the cerebrospinal fluid in association with Coxsackie A enterovirus. The clinical course was atypical because of a second episode of myelitis 2 years after the first episode of neurologic viral complications. The positive outcome of therapy with acyclovir is noteworthy. This case was retrieved in a review of neurologic complications observed in the last few years in patient affected by zoster in our hospital.- - - - - - - - - - ranking = 0.16666666666667keywords = varicella (Clic here for more details about this article) |
9/19. Post-varicella acute transverse myelitis.This report of a case of acute transverse myelitis, after otherwise uneventful varicella, further stresses the importance that the possibility of this relatively rare complication should be kept in mind in patients developing a paraplegic syndrome late in the course of the disease.- - - - - - - - - - ranking = 0.83333333333333keywords = varicella (Clic here for more details about this article) |
10/19. Varicella-zoster virus myelitis: an expanding spectrum.We report four cases of varicella-zoster virus (VZV)-associated myelopathy in adults. Myelopathy was remitting-exacerbating in two remarkable instances, once acute and once chronic. VZV myelopathy was diagnosed based on the close temporal relationship between rash and onset of myelopathy, and for the first time, by polymerase chain reaction, which revealed VZV dna in the cerebral spinal fluid of three patients with pleocytosis weeks to months later. magnetic resonance imaging was abnormal in three of four patients. Although all four patients were treated at some time with intravenous acyclovir, concomitant treatment with steroids and the presence of acquired immunodeficiency syndrome in one patient prevented conclusions about a favorable response to therapy. Myelopathy after VZV infection may be remitting-exacerbating in addition to acute or chronic. Detection of VZV dna in cerebral spinal fluid months after rash was useful for diagnosis and suggests a role for virus in the pathogenesis of myelopathy.- - - - - - - - - - ranking = 0.16666666666667keywords = varicella (Clic here for more details about this article) |
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