Journal of the Bahrain Medical Society

Year 2020, Volume 32, Issue 4, Pages 41-44

https://doi.org/10.26715/jbms.32_2020_4_7

Case Report

A Case of Relapsing-Remitting Illness Due to Varicella Zoster Virus Vasculopathy in an Immunocompetent Adult

Piyush Ostwal*

Author Affiliation

DM Neurology, Department of Neurology, Bahrain Specialist Hospital, Building 2743, Road 2442, Block 324, Manama, Bahrain; Tel. No.: (+973) 35637894, (+973) 17812085; Email:piyush.ostwal@gmail.com; ORCiD: 0000-0001-6057-2578

Received date: July 5, 2020; Accepted date: September 10, 2020; Published date: December 31, 2020


Abstract

Varicella zoster virus (VZV) is an uncommon cause of meningitis in immunocompetent adults and has been implicated as the cause of vasculopathy, in literature. Here, we describe a case of aseptic meningitis which was followed by relapsing-remitting illness that was ultimately attributed to VZVrelated vasculopathy. This case report emphasizes the importance of appropriate virologic testing in cases of aseptic meningitis and maintaining a high index of suspicion for VZV as a causative etiology even in immunocompetent subjects without typical herpes zoster infection.

Keywords: Varicella Zoster Virus Infection; Stroke; Aseptic Meningitis; Central Nervous System Vasculitis; Varicella Zoster Encephalitis.