Coexistence of varicella zoster encephalitis and tuberculous meningitis due to a case

Abstract

In this article, a 58-year-old male patient with coexistence of varicella zoster encephalitis and tuberculous meningitis, a condition rarely reported in the literature, is presented. While receiving valacyclovir treatment with the diagnosis of shingles in the orbitofrontal region, the patient developed encephalitis clinic due to varicella zoster virus. In the examinations made after the fever did not decrease after the treatment, the polymerase chain reaction test in the cerebrospinal fluid was positive for Mycobacterium tuberculosis complex. The patient was diagnosed with tuberculous meningitis. After the treatment, the patient’s fever and clinical complaints completely resolved.

Keywords

• Varicella zoster encephalitis
• tuberculous meningitis
• coinfection

Bir olgu nedeniyle varicella zoster ensefaliti ve tüberküloz menenjit birlikteliği

Abstract

Bu yazıda literatürde nadiren bildirilen bir durum olan varicella zoster ensefaliti ile tüberküloz menenjiti birlikteliği olan 58 yaşında erkek hasta sunuldu. Orbitofrontal bölgede zona tanısıyla valasiklovir tedavisi alırken hastada varicella zoster virüse bağlı olarak ensefalit kliniği gelişti. Tedavi sonrası ateşinin düşmemesi üzerine yapılan incelemelerde beyin omurilik sıvısında polimeraz zincir reaksiyonu testinde Mycobacterium tuberculosis kompleks’in pozitif saptandı. Hastaya tüberküloz menenjit tanısı konuldu. Tedavi sonrasında hastanın ateşi ve klinik yakınmaları tamamen düzeldi.

Keywords

• Varicella zoster ensefaliti
• tüberküloz menenjit
• koinfeksiyon

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