Shingles as the underlying cause of orbital myositis in an a
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Orbital myositis is characterized by pain with eye movements, gaze restriction, diplopia, and enlargement of extraocular muscles on imaging. Varicella zoster virus (VZV) is an extremely rare cause of the disease in the elderly and has never been reported in a patient younger than forty-five years old such as the adolescent described herein. We present this case to raise awareness of an entity that will likely become more prevalent due to current vaccine strategies. A 13-year-old girl presented with VZV-associated orbital myositis and meningitis that had a quick and complete recovery following IV acyclovir and oral steroids.

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