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A 77 year old man with T-cell lymphoma developed an acute fatal meningoradiculitis of cranial nerve roots and cauda equina,pathologically and virologically confirmed to be caused by varicella-zoster virus.This is the first report of fatal varicella-zoster virus-induced neurological disease in the absence of skin lesions.Varicella zoster virus should be included in the differential diagnosis of acute radiculoneuropathy in the immunocomprised patient,particularly because antiviral treatment for varicella-zoster virus exists. |
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