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Two cases of varicella zoster virus meningitis found in pediatric patients after bone marrow transplantation despite valaciclovir prophylaxis and without skin lesions

✍ Scribed by Nicolas Lévêque; Claire Galambrun; Fatiha Najioullah; Nathalie Bleyzac; Marie-Pierre Pages; Yves Bertrand


Book ID
102380721
Publisher
John Wiley and Sons
Year
2006
Tongue
English
Weight
73 KB
Volume
78
Category
Article
ISSN
0146-6615

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✦ Synopsis


Two cases of varicella zoster virus (VZV) meningitis are described in an 18-year-old girl and an 18-year-old boy. They occurred, respectively, 9 days and 9 months after allogeneic bone marrow transplantation. VZV nucleic acid was detected in the cerebrospinal fluid during the 1st week of illness. This recurrence occurred despite valaciclovir prophylaxis and without skin lesions. The two patients received aciclovir intravenously and immunoglobulins infusion. They responded to treatment and their clinical state improved rapidly.