Periorbital cellulitis with Zoster encephalitis: a case report

Herpes Zoster, which commonly affects individuals over 60 years of age, can lead to encephalitis, particularly in elderly or immunocompromised individuals. This case highlights the development of zoster encephalitis following Herpes Zoster ophthalmicus. A 69-year-old woman presented with fever, con...

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Main Authors: Mustafa Usanmaz, Bahar Busra Sivrikaya, Ozgur Gunal, Mehmet Hakan Taskin, Duygu Yener
Format: Article
Language:English
Published: PAGEPress Publications 2025-07-01
Series:Microbiologia Medica
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Online Access:https://www.pagepressjournals.org/mm/article/view/13691
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author Mustafa Usanmaz
Bahar Busra Sivrikaya
Ozgur Gunal
Mehmet Hakan Taskin
Duygu Yener
author_facet Mustafa Usanmaz
Bahar Busra Sivrikaya
Ozgur Gunal
Mehmet Hakan Taskin
Duygu Yener
author_sort Mustafa Usanmaz
collection DOAJ
description Herpes Zoster, which commonly affects individuals over 60 years of age, can lead to encephalitis, particularly in elderly or immunocompromised individuals. This case highlights the development of zoster encephalitis following Herpes Zoster ophthalmicus. A 69-year-old woman presented with fever, confusion, orbital pain, and periorbital cellulitis. Her diagnosis was confirmed as Herpes Zoster ophthalmicus, with subsequent development of zoster encephalitis. The patient was treated with acyclovir for three weeks. The patient’s symptoms improved significantly after early initiation of antiviral therapy, with a reduction in periorbital edema, eye pain, and vesicular lesions. Upon discharge, the patient showed full recovery of consciousness and minimal periorbital crust lesions. Early antiviral treatment is critical for preventing complications and reducing mortality in patients with Herpes Zoster encephalitis. The zoster vaccine is recommended for individuals aged 50 and older to reduce the incidence and associated complications, such as encephalitis. This case highlights the importance of timely intervention and vaccination in prevention.
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institution Kabale University
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publishDate 2025-07-01
publisher PAGEPress Publications
record_format Article
series Microbiologia Medica
spelling doaj-art-c0b03f6ef91841f2bd2ec3da2e988c4f2025-08-20T03:56:08ZengPAGEPress PublicationsMicrobiologia Medica2280-64232025-07-0140110.4081/mm.2025.13691Periorbital cellulitis with Zoster encephalitis: a case reportMustafa Usanmaz0Bahar Busra Sivrikaya1Ozgur Gunal2Mehmet Hakan Taskin3Duygu Yener4Infectious Disease and Clinical Microbiology, Samsun University Training and Research Hospital, SamsunInfectious Disease and Clinical Microbiology, Samsun University Training and Research Hospital, SamsunInfectious Disease and Clinical Microbiology, Samsun University Training and Research Hospital, SamsunMedical Microbiology, Samsun University Training and Research Hospital, SamsunInfectious Disease and Clinical Microbiology, Samsun University Training and Research Hospital, Samsun Herpes Zoster, which commonly affects individuals over 60 years of age, can lead to encephalitis, particularly in elderly or immunocompromised individuals. This case highlights the development of zoster encephalitis following Herpes Zoster ophthalmicus. A 69-year-old woman presented with fever, confusion, orbital pain, and periorbital cellulitis. Her diagnosis was confirmed as Herpes Zoster ophthalmicus, with subsequent development of zoster encephalitis. The patient was treated with acyclovir for three weeks. The patient’s symptoms improved significantly after early initiation of antiviral therapy, with a reduction in periorbital edema, eye pain, and vesicular lesions. Upon discharge, the patient showed full recovery of consciousness and minimal periorbital crust lesions. Early antiviral treatment is critical for preventing complications and reducing mortality in patients with Herpes Zoster encephalitis. The zoster vaccine is recommended for individuals aged 50 and older to reduce the incidence and associated complications, such as encephalitis. This case highlights the importance of timely intervention and vaccination in prevention. https://www.pagepressjournals.org/mm/article/view/13691EncephalitisVaricella Zoster VirusshinglesCentral Nervous System infectionPolymerase Chain Reaction
spellingShingle Mustafa Usanmaz
Bahar Busra Sivrikaya
Ozgur Gunal
Mehmet Hakan Taskin
Duygu Yener
Periorbital cellulitis with Zoster encephalitis: a case report
Microbiologia Medica
Encephalitis
Varicella Zoster Virus
shingles
Central Nervous System infection
Polymerase Chain Reaction
title Periorbital cellulitis with Zoster encephalitis: a case report
title_full Periorbital cellulitis with Zoster encephalitis: a case report
title_fullStr Periorbital cellulitis with Zoster encephalitis: a case report
title_full_unstemmed Periorbital cellulitis with Zoster encephalitis: a case report
title_short Periorbital cellulitis with Zoster encephalitis: a case report
title_sort periorbital cellulitis with zoster encephalitis a case report
topic Encephalitis
Varicella Zoster Virus
shingles
Central Nervous System infection
Polymerase Chain Reaction
url https://www.pagepressjournals.org/mm/article/view/13691
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