Meningitis without Rash after Reactivation of Varicella Vaccine Strain in a 12-Year-Old Immunocompetent Boy

Acute neurologic complications from Varicella-Zoster-Virus reactivation occur in both immunocompromised and immunocompetent patients. In this report, we describe a case of a previously healthy immunocompetent boy who had received two doses of varicella vaccine at 1 and 4 years. At the age of 12 he d...

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Main Authors: Sibylle Bierbaum, Veronika Fischer, Lutz Briedigkeit, Claudius Werner, Hartmut Hengel, Daniela Huzly
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/2/309
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author Sibylle Bierbaum
Veronika Fischer
Lutz Briedigkeit
Claudius Werner
Hartmut Hengel
Daniela Huzly
author_facet Sibylle Bierbaum
Veronika Fischer
Lutz Briedigkeit
Claudius Werner
Hartmut Hengel
Daniela Huzly
author_sort Sibylle Bierbaum
collection DOAJ
description Acute neurologic complications from Varicella-Zoster-Virus reactivation occur in both immunocompromised and immunocompetent patients. In this report, we describe a case of a previously healthy immunocompetent boy who had received two doses of varicella vaccine at 1 and 4 years. At the age of 12 he developed acute aseptic meningitis caused by vaccine-type varicella-zoster-virus without concomitant skin eruptions. VZV-vaccine strain DNA was detected in the cerebrospinal fluid. The patient made a full recovery after receiving intravenous acyclovir therapy. This disease course documents another case of a VZV vaccine-associated meningitis without development of a rash, i.e., a form of VZV infection manifesting as “zoster sine herpete”.
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spelling doaj.art-fb5b5c191b554b38942f20f6f87d56d42023-11-16T23:42:37ZengMDPI AGVaccines2076-393X2023-01-0111230910.3390/vaccines11020309Meningitis without Rash after Reactivation of Varicella Vaccine Strain in a 12-Year-Old Immunocompetent BoySibylle Bierbaum0Veronika Fischer1Lutz Briedigkeit2Claudius Werner3Hartmut Hengel4Daniela Huzly5Center for Microbiology and Hygiene, Institute for Virology, Medical Center, University of Freiburg, 79104 Freiburg, GermanyHelios Kliniken Schwerin, 19055 Schwerin, GermanyHelios Kliniken Schwerin, 19055 Schwerin, GermanyHelios Kliniken Schwerin, 19055 Schwerin, GermanyCenter for Microbiology and Hygiene, Institute for Virology, Medical Center, University of Freiburg, 79104 Freiburg, GermanyCenter for Microbiology and Hygiene, Institute for Virology, Medical Center, University of Freiburg, 79104 Freiburg, GermanyAcute neurologic complications from Varicella-Zoster-Virus reactivation occur in both immunocompromised and immunocompetent patients. In this report, we describe a case of a previously healthy immunocompetent boy who had received two doses of varicella vaccine at 1 and 4 years. At the age of 12 he developed acute aseptic meningitis caused by vaccine-type varicella-zoster-virus without concomitant skin eruptions. VZV-vaccine strain DNA was detected in the cerebrospinal fluid. The patient made a full recovery after receiving intravenous acyclovir therapy. This disease course documents another case of a VZV vaccine-associated meningitis without development of a rash, i.e., a form of VZV infection manifesting as “zoster sine herpete”.https://www.mdpi.com/2076-393X/11/2/309varicella zoster virusvaricella vaccinezoster sine herpete
spellingShingle Sibylle Bierbaum
Veronika Fischer
Lutz Briedigkeit
Claudius Werner
Hartmut Hengel
Daniela Huzly
Meningitis without Rash after Reactivation of Varicella Vaccine Strain in a 12-Year-Old Immunocompetent Boy
Vaccines
varicella zoster virus
varicella vaccine
zoster sine herpete
title Meningitis without Rash after Reactivation of Varicella Vaccine Strain in a 12-Year-Old Immunocompetent Boy
title_full Meningitis without Rash after Reactivation of Varicella Vaccine Strain in a 12-Year-Old Immunocompetent Boy
title_fullStr Meningitis without Rash after Reactivation of Varicella Vaccine Strain in a 12-Year-Old Immunocompetent Boy
title_full_unstemmed Meningitis without Rash after Reactivation of Varicella Vaccine Strain in a 12-Year-Old Immunocompetent Boy
title_short Meningitis without Rash after Reactivation of Varicella Vaccine Strain in a 12-Year-Old Immunocompetent Boy
title_sort meningitis without rash after reactivation of varicella vaccine strain in a 12 year old immunocompetent boy
topic varicella zoster virus
varicella vaccine
zoster sine herpete
url https://www.mdpi.com/2076-393X/11/2/309
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