Aseptic arthritis can often be associated with viruses— in the Singapore context—dengue or chikungunya viruses. The association of varicella-zoster virus (VZV) with arthritis however, is rare. Few cases of aseptic arthritis associated with VZV have been documented in the paediatric literature in the past 50 years and fewer still in adults. To date, the exact mechanism, clinical presentation and treatment have not been well described in the literature. We describe here a case of aseptic arthritis associated with VZV reactivation and present a review of the published literature.
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