The neurologic manifestations of herpes zoster varicella (HZV) infections have recently been reviewed.1 In previously reported cases, CSF values were normal to mildly altered. Protein values ranged from normal (in 50% of patients) to 400 mg/dL, and WBC counts ranged from 0 to 500 per microliter,2-4 with an isolated report of a case with 1,760 WBCs.5 Hypoglycorrhachia is unusual. We report the following case to show that CSF findings in HZV meningoencephalitis may be striking and may mimic those of acute pyogenic meningitis.
REPORT OF A CASE
A 78-year-old woman entered a rural hospital because of confusion and inappropriate behavior. She was in excellent health until one week earlier when ophthalmic HZ developed in the right eye. Laboratory studies of the CSF showed the following values: WBCs, 390/μL; protein, 284 mg/dL; and glucose, 13 mg/dL, with a plasma glucose level of 101 mg/dL. She was transferred
Reimer LG, Reller LB. CSF in Herpes Zoster Meningoencephalitis. Arch Neurol. 1981;38(10):668. doi:10.1001/archneur.1981.00510100096020
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