Abstract
We describe a case of polyradiculoneuritis in an elderly patient with pleocytosis, raised proteins in CSF, and varicella zoster virus (VZV) DNA in the CSF without cutaneous rash. ### Case description. A 79-year-old man presented in September 2008 with subacute onset of lower limb flaccid paralysis, the day after an episode of diarrhea with hyperthermia. His medical history included HCV-related hepatitis. The neurologic examination showed flaccid paraplegia with areflexia and decreased temperature, pain, and vibration sensation. Electroneurography/electromyography examination showed multifocal demyelinating polyneuropathy with proximal damage, prevalently at the lower limbs. The CSF examination, 10 days after the onset of the symptoms, showed lymphocytic pleocytosis (224 cells/mm3, normal value 45%). A search for herpes simplex virus 1–2, VZV, Epstein-Barr virus, cytomegalovirus, human …
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