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Updated: May 25, 2026

A Primary Neuron Culture System for the Study of Herpes Simplex Virus Latency and Reactivation
Published on: April 2, 2012
Polymorphic ventricular tachycardia in a patient with herpes encephalitis
Martin Huemer1, Leif-Hendrik Boldt, Alexander Wutzler
1Department of Cardiology, Division of Rhythmology and Electrophysiology, Charité Virchow Klinikum, Augustenburgerplatz 1, Berlin 13353, Germany. martin.huemer@charite.de
Herpes encephalitis can cause acquired long QT syndrome, leading to dangerous heart rhythms like polymorphic ventricular tachycardia and ventricular fibrillation. This case highlights a critical neurological complication affecting cardiac function.
Area of Science:
- Neurology
- Cardiology
- Infectious Diseases
Background:
- Herpes simplex virus (HSV) encephalitis is a severe neurological infection.
- Cardiac arrhythmias are recognized complications of various systemic and neurological conditions.
- Long QT syndrome (LQTS) is a disorder of cardiac repolarization.
Observation:
- A patient presented with symptoms indicative of herpes encephalitis.
- During the course of the illness, the patient developed polymorphic ventricular tachycardia.
- The ventricular tachycardia progressed to ventricular fibrillation, indicating severe cardiac instability.
Findings:
- The patient was diagnosed with acquired long QT syndrome.
- The acquired long QT syndrome was directly attributed to the herpes encephalitis.
- This suggests a potential pathophysiological link between HSV infection and cardiac ion channel dysfunction.
Implications:
- Herpes encephalitis can precipitate life-threatening cardiac arrhythmias through acquired long QT syndrome.
- This case underscores the importance of cardiac monitoring in patients with herpes encephalitis.
- Understanding this association may lead to improved management strategies for neurological infections with cardiac manifestations.
Related Concept Videos
Dysrhythmias III: Characteristics of Dysrhythmias
Encephalitis l: Introduction
Encephalitis ll: Pathophysiology
Arboviral Encephalitis
Dysrhythmias II: Classification of Tachyarrhythmias
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
