Abstract
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 patients affected by zoster in our hospital.
Sommario
In un caso di mielite trasversa sono stati documentati antigeni contro il virus varicella zoster (V-Z) e contemporaneamente è stata individuata la presenza di un enterovirus coxsackie A. nel liquor. Si segnala il decorso anomalo dell' affezione per un episodio omologo di mielite recidivante dopo 2 anni. Il trattamento con Acyclovir è risultato molto utile. Il caso viene inserito, in una review di complicanze neurologiche osservate in questi ultimi anni in pazienti ricoverati in Istituto per deficit neurologici da virus (V-2).
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Boiardi, A., Ferrante, P., Porta, E. et al. Herpes zoster myelitis: Nervous system complications. Ital J Neuro Sci 7, 617–622 (1986). https://doi.org/10.1007/BF02341478
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DOI: https://doi.org/10.1007/BF02341478