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

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• 作者：Raffaella Pisapia (1)
  Alessia Rianda (1)
  Andrea Mariano (1)
  Angela Testa (1)
  Simonetta Galgani (2)
  Laura Vincenzi (1)
  Amina Abdeddaim (1)
  Alessandra Oliva (1)
  Pasquale Narciso (1)
  
• 关键词：Varicella zoster virus ; Cranial nerve palsy ; Molecular diagnosis ; Clinical awareness
• 刊名：BMC Infectious Diseases
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：13
• 期：1
• 全文大小：119KB
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  9. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2334/13/138/prepub
  
• 作者单位：Raffaella Pisapia (1)
  Alessia Rianda (1)
  Andrea Mariano (1)
  Angela Testa (1)
  Simonetta Galgani (2)
  Laura Vincenzi (1)
  Amina Abdeddaim (1)
  Alessandra Oliva (1)
  Pasquale Narciso (1)
  
  1. Clinical Department, First Division, National Institute for Infectious Diseases 鈥淟azzaro Spallanzani鈥? Via Portuense 292, 00149, Rome, Italy
  2. Neuroscience Department, 鈥淪an Camillo Forlanini鈥?hospital, Rome, Italy
  

文摘

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.