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Extensive VZV Encephalomyelitis without Rash in an Elderly Man
Case Reports Neurol Med 2014:ID694750, Lynch, K.,et al, 2014
See this aricle in Pubmed

Article Abstract
This is a rare report of an immunocompetent patient with extensive VZV encephalomyelitis. We highlight the importance of considering this diagnosis even in the absence of the characteristic rash, and the potential risk of premature discontinuation of antiviral therapy once HSV has been excluded. Prompt recognition and treatment can dramatically reduce morbidity and mortality in patients.
 
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cauda equina
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cranial nerve enhancement
encephalomyelitis
fever
herpes zoster
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