Varicella zoster virus infection presenting as isolated diplopia: A case report

Raffaella Pisapia, Alessia Rianda, Andrea Mariano, Angela Testa, Simonetta Galgani, Laura Vincenzi, Amina Abdeddaim, Alessandra Oliva, Pasquale Narciso

Research output: Contribution to journalArticlepeer-review


Background: Involvement of trochlear nerve during Varicella Zoster Virus (VZV) Infection has been rarely described, and always in association with skin rash.Case presentation: We describe the case of a patient with VZV infection presenting as isolated diplopia due to fourth cranial nerve palsy. The diagnosis has been obtained through the application of a standardized molecular diagnostic panel, and diplopia resolved after specific antiviral and corticosteroid therapy.Conclusion: This case evidences that clinicians should be aware of atypical VZV infection, even in the absence of the typical skin rash.

Original languageEnglish
Article number138
JournalBMC Infectious Diseases
Issue number1
Publication statusPublished - Mar 15 2013


  • Clinical awareness
  • Cranial nerve palsy
  • Molecular diagnosis
  • Varicella zoster virus

ASJC Scopus subject areas

  • Infectious Diseases


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