Varicella zoster virus central nervous system immune reconstitution inflammatory syndrome presenting in a child.

Pediatr Infect Dis J

From the *Oxford Vaccine Group, Department of Pediatrics, University of Oxford and the NIHR Oxford Biomedical Research Centre, Oxford; Department of †Pediatric Neurology and ‡Neuroradiology, University Hospital Southampton NHS Foundation Trust; §Academic Unit of Clinical and Experimental Sciences, Faculty of Medicine and Institute for Life Sciences, University of Southampton; ¶Department of Pediatric Immunology and Infectious Diseases, Southampton Children's Hospital, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom; ‖Department of Pediatrics, The University of Melbourne, Parkville, Australia; and **NIHR Wellcome Trust Clinical Research Facility, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.

Published: November 2013

A HIV-positive child presented with acute onset of right hemiplegia, facial palsy and dysphasia 4 weeks after commencing highly active antiretroviral therapy. Magnetic resonance imaging confirmed a left-sided cerebral infarct. Cerebrospinal fluid polymerase chain reaction was positive for varicella zoster virus. This is the first reported pediatric case of varicella zoster virus-related immune reconstitution inflammatory syndrome involving the central nervous system.

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http://dx.doi.org/10.1097/INF.0b013e31829aa4fcDOI Listing

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