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.
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