Ocular and Facial Herpes Zoster and Meningitis in an Adult after Zoster Vaccination

Purpose: To report a case of ocular and facial herpes zoster meningitis after vaccination.Case summary: A 60-year-old man was administered Zostavax® on his left arm; he developed vesicular rash over eye forehead 4 days afterwards. He started antiviral drugs for the rash, visited hospital severe headache spread to involve tip nose, face, palate by day 7. taking Synthyroid® (Bukwang Pharmaceuticals, Seoul, Korea) since thyroidectomy thyroid cancer 6 years ago. had never been diagnosed with chickenpox, but an episode red in childhood. Slit-lamp examination revealed conjunctival chemosis, hyperemia, pseudodendrite peripheral cornea. The anterior chamber quiet, there were no significant findings brain magnetic resonance imaging. Varicella virus detected cerebrospinal fluid polymerase chain reaction. patient treated oral acyclovir topical ganciclovir, levofloxacin, bromfenac. One week later, disappeared chemosis improved. There recurrence during months follow-up.Conclusions: Reactivation or vaccination may occur, rarely. Immediate treatment is required these cases.