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zoster [2026/08/07 01:16] – [Risk factors for developing HZ in adults] gary1zoster [2026/08/14 08:22] (current) – [special considerations] wh
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 ====special considerations==== ====special considerations====
 +  ***zoster meningitis**
 +    * usually presents as severe headache, often late in 1st week
 +    * occurring in 0.14% to 0.5% of all acute shingles cases
 +    * requires CT brain and LP for Dx (lymphocytic pleocytosis coupled with positive varicella-zoster virus (VZV) PCR testing) and IV antivirals
   ***atypical spread**   ***atypical spread**
     * less commonly, it may affect multiple dermatomes or have eruptions in bilateral dermazones     * less commonly, it may affect multiple dermatomes or have eruptions in bilateral dermazones
zoster.txt · Last modified: 2026/08/14 08:22 by wh

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