Abstract

ALVAREZ SERRANO, Esteban; CASOLA CRESPO, Eugenio; RIVERO FERNANDEZ, Fidel  and  VILAS MARTINEZ, Lisandro. Meningoencephalitis in the course of an herpes zoster facialis. AMC [online]. 2007, vol.11, n.4, pp. 0-0. ISSN 1025-0255.

The infection by the varicella-zoster virus as cause of meningoencephalitis is infrequent, especially if the patient is immunocompetent. A case of a 42 years-old, mixed race patient is presented, Physical Education professor, with a picture of herpes zoster facialis, intense pain, erythematous lesions with vesicles that affect the left side of the nose, eyelid and left eye, as well as the hemiforhead of the same side, fever about 39- 40oc, disorientation, inflexibility of the nape, intense projectile vomitings. Lumbar puncture is carried out, which turns out to be pathological. Treatment with acyclovir, immunomodulators, neuroprotectors and vitaminotherapy, is imposed, resolution of the dermatological, neurological and ophthalmological picture, was obtained. The clinical chart, and its diagnosis is commented and the literature is revised.

Keywords : meningoecephalitis; herpes zoster.

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