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Plaquing of Herpes Simplex Viruses
Published on: November 5, 2021
Anti-NMDAR Encephalitis in Association with Herpes Simplex Virus and Viral and Bacterial Zoonoses
Stefanie Kar Yan Hung1, Fu Liong Hiew1, Shanthi Viswanathan1
1Department of Neurology, Kuala Lumpur Hospital, Jalan Pahang, 50586 Kuala Lumpur, Malaysia.
Abstract:
Multiple co-infections can predispose a patient to autoimmune encephalitis. Out of thirty cases of N-methyl-D-aspartate receptor (NMDAR) encephalitis seen at a single tertiary referral center, only two cases of co-infection with NMDAR encephalitis were identified. One of these cases was highly interesting due to the presence of more than one co-infections along with the presence of cortical dysfunction, seizures, and orofacial dyskinesias at the onset in a male in the absence of tumors, which was refractory to initial treatment.
Insights
Multiple co-infections can trigger autoimmune encephalitis. This study highlights a rare N-methyl-D-aspartate receptor (NMDAR) encephalitis case with multiple co-infections, presenting severe symptoms and treatment resistance.
Area of Science:
- Neurology
- Immunology
- Infectious Diseases
Background:
- Autoimmune encephalitis, particularly N-methyl-D-aspartate receptor (NMDAR) encephalitis, can be triggered by infections.
- Co-infections are infrequently reported in patients with NMDAR encephalitis.
Observation:
- This study reviewed thirty cases of NMDAR encephalitis at a tertiary referral center.
- Only two cases presented with co-infections.
Findings:
- One case involved a male patient with multiple co-infections presenting with cortical dysfunction, seizures, and orofacial dyskinesias at onset.
- This specific case was refractory to initial treatment and occurred in the absence of tumors.
Implications:
- This case underscores the complex interplay between multiple infections and autoimmune encephalitis.
- Further research is needed to understand the mechanisms and optimal management of co-infected NMDAR encephalitis patients.
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