Guest posting: Dr Holly Jordan, Physician Trainee, John Hunter Hospital, Newcastle, NSW. 

• Case 1: 76F presents with headache, lethargy and behavioural changes 1 week post developing unilateral vesicular rash of the upper limb.
• Case 2: u73F presents with 3-4 days history of unilateral (R) frontal headache, associated with (R) ocular pain followed by rash on (R) forehead + inability to open her (R) eye.
• Case 3: u88M found to have multiple (R) hemispheric acute lacunar infarctions following a slow deterioration post fall 3 months prior.

VZV presentation Jordan June 2020

References

1. Albrecht et al. Epidemiology, clinical manifestations, and diagnosis of herpes zoster: UpToDate
2. Skripuletz et al. Varicella zoster virus infections in neurological patients: a clinical study BMC Infectious Diseases (2018) 18:238
3. Beaman MH. Community-acquired acute meningitis and encephalitis: a narrative review. MJA. 2018.
4. Haanpaa M et al. CSF and MRI findings in patients with acute herpes zoster. Neurology. 1998; 51(5):1405-11.
5. Herpes zoster ophthalmicus: Therapeutic Guidelines (Australia); 2019
6. Nagel MA. Varicella zoster virus vasculopathy: UpToDate

Picture: Wikipedia