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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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