Hemorrhagic and ischemic stroke secondary to herpes simplex virus type 2 meningitis and vasculopathy.
J Neurovirol
; 20(4): 419-22, 2014 Aug.
Article
em En
| MEDLINE
| ID: mdl-24806272
ABSTRACT
Herpes simplex virus type 2 (HSV-2) meningitis dogmatically is benign and self-limited in the immune competent patient. However, we describe how left untreated HSV-2 meningitis can be complicated by vasculitis and both ischemic and hemorrhagic stroke. We report a 57-year-old woman with lymphocytic meningitis complicated by ischemic stroke and intracerebral hemorrhage in the setting of vasculopathy and HSV-2 DNA detected in CSF successfully treated with acyclovir and corticosteroids. Subsequent angiographic magnetic resonance imaging revealed improvement in the vasculopathy after treatment. This case demonstrates that HSV-2 meningitis may take a less benign course and further provides the first evidence of angiographic improvement in addition to clinical improvement after definitive treatment.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Vasculite
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Acidente Vascular Cerebral
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Herpes Simples
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Meningite Viral
Limite:
Female
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Humans
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Middle aged
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article