Which signs of specific viral infection can aid in diagnosis of viral meningitis?

Updated: Jul 17, 2018
  • Author: Cordia Wan, MD; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Various signs of specific viral infection can aid in diagnosis. These include the following:

  • Pharyngitis and pleurodynia in enteroviral infections

  • Skin manifestations, such as zoster eruption from VZV, maculopapular rash from measles and enteroviruses, vesicular eruption from herpes simplex, and herpangina from coxsackievirus A infections

  • Pharyngitis, lymphadenopathy, and splenomegaly, which suggest EBV infection

  • Immunodeficiency and pneumonia, which should suggest adenovirus, CMV, or HIV as the causative agent

  • Parotitis and orchitis, from mumps

  • Gastroenteritis and rash, which occur with most enteroviral infections

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