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Aseptic meningitis and herpes simplex proctitis. A case report
The British Journal of Venereal Diseases
|February 1, 1982
Abstract:
A male homosexual patient developed an aseptic meningitis during the course of acute ano-proctitis due to herpes simplex virus type 2 (HSV-2). Aseptic meningitis (sometimes proved to be due to HSV-2) has been associated with genital but not with anal herpes. This sexually transmissible virus should be considered when patients with aseptic meningitis are investigated.
Insights
Herpes simplex virus type 2 (HSV-2) can cause aseptic meningitis in homosexual men with anal herpes. This sexually transmitted infection requires consideration in meningitis diagnoses.
Area of Science:
- Virology
- Neurology
- Infectious Diseases
Background:
- Aseptic meningitis is an inflammation of the membranes surrounding the brain and spinal cord.
- Herpes simplex virus type 2 (HSV-2) is a common cause of genital herpes.
- HSV-2 infections are typically associated with genital lesions.
Observation:
- A homosexual male patient presented with acute ano-proctitis.
- The patient subsequently developed symptoms of aseptic meningitis.
- Herpes simplex virus type 2 (HSV-2) was identified as the causative agent for both conditions.
Findings:
- This case demonstrates a link between HSV-2 ano-proctitis and aseptic meningitis.
- Aseptic meningitis due to HSV-2 has been previously associated with genital herpes, but not typically with anal herpes.
- The findings highlight a potential neurological complication of anal HSV-2 infection.
Implications:
- Healthcare providers should consider HSV-2 in the differential diagnosis of aseptic meningitis, particularly in patients with a history of or risk factors for sexually transmitted infections.
- This case expands the known clinical spectrum of HSV-2 neurological complications.
- Further research may be warranted to understand the incidence and mechanisms of HSV-2-associated meningitis from anal infections.