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Case Reports
. 2013 Mar 15:13:138.
doi: 10.1186/1471-2334-13-138.

Varicella zoster virus infection presenting as isolated diplopia: a case report

Raffaella Pisapia  1 , Alessia Rianda, Andrea Mariano, Angela Testa, Simonetta Galgani, Laura Vincenzi, Amina Abdeddaim, Alessandra Oliva, Pasquale Narciso
Affiliations
Case Reports

Varicella zoster virus infection presenting as isolated diplopia: a case report

Raffaella Pisapia et al. BMC Infect Dis. .

Abstract

Background: Involvement of trochlear nerve during Varicella Zoster Virus (VZV) Infection has been rarely described, and always in association with skin rash.

Case presentation: We describe the case of a patient with VZV infection presenting as isolated diplopia due to fourth cranial nerve palsy. The diagnosis has been obtained through the application of a standardized molecular diagnostic panel, and diplopia resolved after specific antiviral and corticosteroid therapy.

Conclusion: This case evidences that clinicians should be aware of atypical VZV infection, even in the absence of the typical skin rash.

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References

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