JOSHUA FIERER, M.D.; PERCIVAL BAZELEY, M.D., D.V.M.; A. I. BRAUDE, M.D., Ph.D., F.A.C.P.
A nonfatal case of herpes B virus encephalomyelitis is presented. The patient is an eminent virologist whose last direct contact with monkeys was 10 years before he became ill. His illness began with a zoster-like lesion of the trigeminal nerve, which suggests reactivation of a latent infection, since he had had no recent exposure to monkeys. The diagnosis of B virus infection was made by isolation of the virus from a skin scraping; it was confirmed serologically. Treatment with prednisone, gamma globulin, and cytosine arabinoside did not seem to affect his course. His survival was primarily owing to intensive supportive therapy.
FIERER J, BAZELEY P, BRAUDE AI. Herpes B Virus Encephalomyelitis Presenting as Ophthalmic Zoster: A Possible Latent Infection Reactivated. Ann Intern Med. 1973;79:225–228. doi: https://doi.org/10.7326/0003-4819-79-2-225
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Published: Ann Intern Med. 1973;79(2):225-228.
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