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Perit Dial Int 27(4): 391-394 2007
© 2007 International Society for Peritoneal Dialysis
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CASE COMMENTARIES IN PERITONEAL DIALYSIS

HERPES ZOSTER-ASSOCIATED ENCEPHALITIS IN A PATIENT UNDERGOING CAPD: CASE REPORT AND LITERATURE REVIEW

Kim C.E. Sigaloff and Carola W.H. de Fijter

Department of Internal Medicine, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands

Correspondence to: K.C.E. Sigaloff, Department of Internal Medicine, Onze Lieve Vrouwe Gasthuis, Postbus 95500, 1090 HM Amsterdam, The Netherlands.
sigaloff{at}yahoo.com

Neurological complications of varicella zoster virus (VZV) reactivation have rarely been described in dialysis patients. We report a case of a continuous ambulatory peritoneal dialysis (CAPD) patient who developed herpes zoster encephalitis. The patient was treated with acyclovir and steroids and had a slow but complete return to her prior cognitive status. The available literature is reviewed and the differential diagnosis with acyclovir toxicity is discussed.

KEY WORDS: Varicella zoster virus encephalitis; chronic renal failure; acyclovir neurotoxicity.

Received 12 September 2006; accepted 13 April 2007.






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