Herpes zoster as a result of reactivated varicella-zoster virus is characterized by vesicular eruptions on skin and painful neuralgia in the dermatome distribution. Pain during an acute phase of herpes zoster has been associated with a higher risk of developing postherpetic neuralgia. The current therapies for herpes zoster including analgesics and sympathetic nerve block as well as antiviral a...

Reactivation of latent Varicella-Zoster virus may cause various neurological complications including meningitis, encephalitis, myelitis, vasculopathy resulting in stroke and pseudotumor cerebri. It occurs mainly in elderly or immunocompromised patients and is very rare in children. We report a 4-year and 6-months old immunocompetent boy who developed encephalitis and cerebellites, due to reacti...

Herpes zoster (shingles) is rare in children with no history of chickenpox but can occur when their mothers are infected with the virus during pregnancy. In such cases, herpes zoster generally presents after the first year of life after maternal immunoglobulin (Ig) G antibodies have disappeared from the child’s blood. Disseminated pediatric herpes zoster is an unusual condition. We present the ...

This review of the data from the Shingles Prevention Study (SPS) highlights the efficacy and safety of a high-titer live attenuated herpes zoster virus vaccine in preventing herpes zoster and postherpetic neuralgia (PHN) in adults aged 60 years or older. In the SPS, the vaccine reduced the burden of illness due to herpes zoster disease by 61.1% and the incidence of its most common and debilitat...

Shingles, also known as herpes zoster, is a common disease in the elderly population that is caused by reactivation of latent varicella zoster virus. Its manifestations and complications can lead to significant short- and long-term morbidity. In 2006, the United States Food and Drug Administration approved Zoster Vaccine Live (Zostavax) for the prevention of herpes zoster in immunocompetent adu...

Infections are rare but important causes of stroke. Among these, varicella zoster virus has been known to cause ischemic stroke. During an attack of herpes zoster ophthalmicus, it has been hypothesized that the virus replicates in the trigeminal ganglion and travels via the trigeminal nerve centrally to cause cerebral vasculopathy. Here we present a case of a 69 year-old Caucasian immunocomprom...

Background: Acyclovir, a specific and selective inhibitor of replication of herpesviridae family, has well documented efficacy for speedy rash healing and decreasing pain of herpes zoster. Limited oral bioavailability of acyclovir requires frequent dosing. Valacyclovir is rapidly and almost completely converted to acyclovir in vivo and gives three to fivefold increase in acyclovir bioavailabili...

varicella-zoster viruses complications involving the cns are estimated to occur rarely, transverse myelitis after varicella-zoster virus in most patients is characterized by an abrupt onset of progressive weakness and sensory disturbance in the lower extremities , like other viruses. we describe the case of 17 year-old boy who experienced cervical transverse myelitis after chickenpox with inabi...