{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:14:05Z","timestamp":1782602045058,"version":"3.54.5"},"reference-count":14,"publisher":"Scientific Scholar","issue":"04","license":[{"start":{"date-parts":[[2019,9,26]],"date-time":"2019-09-26T00:00:00Z","timestamp":1569456000000},"content-version":"vor","delay-in-days":1273,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Meningitis caused by varicella zoster virus (VZV) is quite rare among young immunocompetent adults though immunocompromised patients are often seen to be affected by reactivation of VZV presenting with primary clinical features of dermatomal rashes and neurological sequelae. Here, we report the clinical scenario of a young, healthy male who had presented with fever, headache, and onset of dermatomal rashes later than the fever and was eventually diagnosed to be a case of VZV meningitis. We would like to highlight the fact that even young immunocompetent patients though rarely, might contract VZV meningitis and clinicians should have a high index of suspicion and keen eyes to catch the more obvious features of VZV infection on complete physical examination and must not harbor any reservations in ordering polymerase chain reaction for VZV DNA or initiating aggressive antiviral therapy.<\/jats:p>","DOI":"10.4103\/0976-3147.185506","type":"journal-article","created":{"date-parts":[[2016,7,5]],"date-time":"2016-07-05T10:22:44Z","timestamp":1467714164000},"page":"591-593","source":"Crossref","is-referenced-by-count":7,"title":["Meningitis with polymerase chain reaction for varicella zoster positivity in cerebrospinal flid of a young immunocompetent adult"],"prefix":"10.25259","volume":"7","author":[{"given":"Pooja","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Neurology, Sir Ganga Ram Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeev","family":"Ranjan","sequence":"additional","affiliation":[{"name":"Department of Neurology, Sir Ganga Ram Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. S.","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Neurology, Sir Ganga Ram Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Muralikrishnan","sequence":"additional","affiliation":[{"name":"Department of Neurology, Sir Ganga Ram Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Dave","sequence":"additional","affiliation":[{"name":"Department of Neurology, Sir Ganga Ram Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davinder Singh","family":"Rana","sequence":"additional","affiliation":[{"name":"Department of Neurology, Sir Ganga Ram Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,26]]},"reference":[{"key":"key-10.4103\/0976-3147.185506-1","first-page":"635","volume-title":"Neurologic complications of the reactivation of varicella-zoster virus","author":"Gilden","year":"2000","journal-title":"N Engl J Med"},{"key":"key-10.4103\/0976-3147.185506-2","first-page":"1015","volume-title":"The neurotropic herpes viruses: Herpes simplex and varicella-zoster","author":"Steiner","year":"2007","journal-title":"Lancet Neurol"},{"key":"key-10.4103\/0976-3147.185506-3","first-page":"675","volume-title":"Varicella zoster virus infection: Clinical features, molecular pathogenesis of disease, and latency","author":"Mueller","year":"2008","journal-title":"Neurol Clin"},{"key":"key-10.4103\/0976-3147.185506-4","first-page":"731","volume-title":"Varicella zoster virus vasculopathies: Diverse clinical manifestations, laboratory features, pathogenesis, and treatment","author":"Gilden","year":"2009","journal-title":"Lancet Neurol"},{"key":"key-10.4103\/0976-3147.185506-5","first-page":"96","volume-title":"Varicella-zoster virus: An overlooked cause of aseptic meningitis","author":"Jhaveri","year":"2003","journal-title":"Pediatr Infect Dis J"},{"key":"key-10.4103\/0976-3147.185506-6","first-page":"362","volume-title":"Varicella zoster virus associated acute aseptic meningitis without exanthem in an immunocompetent 14-year-old boy","author":"Leahy","year":"2008","journal-title":"Pediatr Infect Dis J"},{"key":"key-10.4103\/0976-3147.185506-7","first-page":"206","volume-title":"Varicella zoster virus meningitis with hypoglycorrhachia in the absence of rash in an immunocompetent woman","author":"Habib","year":"2009","journal-title":"J Neurovirol"},{"key":"key-10.4103\/0976-3147.185506-8","first-page":"631","volume-title":"Varicella-zoster virus meningoencephalitis in an immunocompetent patient without a rash","author":"Klein","year":"2010","journal-title":"Scand J Infect Dis"},{"key":"key-10.4103\/0976-3147.185506-9","first-page":"73","volume-title":"Herpes zoster meningoencephalitis: Not only a disease of the immunocompromised?","author":"Douglas","year":"2010","journal-title":"Infection"},{"key":"key-10.4103\/0976-3147.185506-10","first-page":"705","volume-title":"A case of acute aseptic meningitis associated with herpes zoster","author":"Kim","year":"2009","journal-title":"Korean J Pediatr"},{"key":"key-10.4103\/0976-3147.185506-11","first-page":"9","volume-title":"The nature of herpes zoster: A long-term study and a new hypothesis","author":"Hope-Simpson","year":"1965","journal-title":"Proc R Soc Med"},{"key":"key-10.4103\/0976-3147.185506-12","first-page":"1153","volume-title":"Herpes zoster and human immunodeficiency virus infection","author":"Buchbinder","year":"1992","journal-title":"J Infect Dis"},{"key":"key-10.4103\/0976-3147.185506-13","first-page":"e273","volume-title":"Varicella zoster virus meningitis in a previously immunized child","author":"Schwab","year":"2004","journal-title":"Pediatrics"},{"key":"key-10.4103\/0976-3147.185506-14","first-page":"686218","volume-title":"Varicella zoster virus meningitis in a young immunocompetent adult without rash: A misleading clinical presentation","author":"Pasedag","year":"2014","journal-title":"Case Rep Neurol Med"}],"container-title":["Journal of Neurosciences in Rural 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