Herpes simplex virus type 2 encephalitis in a child with chronic progressive white matter lesions: A case report

Medicine (Baltimore). 2022 Dec 16;101(50):e32289. doi: 10.1097/MD.0000000000032289.

Abstract

Rationale: This case is a rare manifestation of central nervous system infection of Herpes simplex virus (HSV)-2. Due to few studies in China, it provides a pathological basis for further diagnosis and treatment of HSV-2.

Patient concerns: We describe a patient with HSV-2 virus infection who was diagnosed with HSV-2 encephalitis in a Chinese patient.

Diagnosis: Based on brain biopsy and pathological findings, the patient was diagnosed with HSV-2 encephalitis.

Interventions: Hormone and antiviral therapy were given.

Outcome: The patient eventually died.

Lessons: The diagnosis and differential diagnosis of the disease is very difficult. Its differential diagnosis include cerebrovascular disease, bacteria or fungi and other viral infection of the brain.

Publication types

  • Case Reports

MeSH terms

  • Brain / diagnostic imaging
  • Brain / pathology
  • Child
  • Encephalitis, Herpes Simplex* / diagnosis
  • Encephalitis, Herpes Simplex* / drug therapy
  • Herpes Simplex* / complications
  • Herpes Simplex* / diagnosis
  • Herpes Simplex* / pathology
  • Herpesvirus 2, Human
  • Humans
  • Vascular Diseases* / pathology
  • White Matter* / diagnostic imaging
  • White Matter* / pathology