A rare case: Herpes zoster ophthalmicus complicated by meningitis in an immunocompetent individual

Herpes zoster ophthalmicus (HZO) is a condition that occurs when varicella zoster virus (VZV) is reactivated in the sensory nerve ganglion of the ophthalmic branch of the trigeminal nerve. Neurologic complications are rare and usually occur in immunosuppressed individuals. We present a case of an immunocompetent female patient with VZV meningitis who has history of cranial fracture due to a traffic accident. She presented with headache, nausea, and vomiting that developed after HZO. The presence of HZO on the same side as the cranial fracture line suggested the possibility of virus inoculation in the etiology of meningitis.