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| | Varicella-Zoster Virus and HIV |
 | | In rare instances, VZV neurologic disease has occurred after resolution of the rash, in some cases as long as 3 months later.(7) Encephalitis occurs more frequently with zoster in the ophthalmic distribution, and cerebellar findings are typical; prominent symptoms include ataxia, tremors, and dizziness. |
 | | In several studies, intravenous acyclovir was superior to placebo in treating severe or disseminated VZV infections in an immunocompromised host.(13,17) Early administration of acyclovir decreases the duration of viral shedding, the extent of new lesion formation, the incidence of dissemination, and patient mortality. |
 | | In this study, cutaneous dissemination of VZV occurred in 50% of patients with localized dermatomal infection who were treated with vidarabine but in none of those treated with acyclovir.(17) Specific studies of the utility of intravenous acyclovir in HIV-infected patients have not been conducted. |
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