一个六岁女孩的简单疹病毒1型脑炎:拉丁美洲的病例报告
Jorge Martinez-Vasquez1, Alberto Vargas-Solano2, Jeaustin Mora-Jiménez3
1Pediatrics and Child Health, Hospital Clinica Biblica, San José, CRI.
Cureus
|November 25, 2025
概括
在儿童中早期诊断和治疗简单疹病毒1型 (HSV-1) 脑炎至关重要. 及时的抗病毒疗法,如阿西克洛维尔,可以预防严重的神经损伤,并改善儿科患者的结果.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
背景情况:
- 简单疹病毒1型 (HSV-1) 脑炎是一种严重的神经疾病,儿童的发病率和死亡率很高.
- 早期识别和干预对于治疗儿科HSV-1脑炎和预防长期并发症至关重要.
研究的目的:
- 为了突出儿童HSV-1脑炎的诊断挑战.
- 强调在儿科病例中及时进行抗病毒治疗的重要性.
主要方法:
- 一个六岁女孩患有HSV-1脑炎的病例报告.
- 使用脑部MRI,EEG和CSFPCR进行诊断.
- 开始实证静脉注射阿西克洛维尔治疗.
主要成果:
- 通过CSFPCR确认HSV-1感染.
- 核磁共振扫描显示了一边的叶超强度.
- 患者在接受了阿西克洛维尔治疗后出现了神经改善.
结论:
- 早期诊断和综合管理对于儿科HSV-1脑炎至关重要.
- 及时的神经成像,EEG和CSF分析引导治疗决策.
- 及时的抗病毒治疗可以预防不可逆转的神经损伤.
相关概念视频
Herpes
Herpes simplex type 1 (HSV‑1) is a widespread pathogen responsible for orolabial lesions. It is an enveloped, double-stranded DNA (dsDNA) virus belonging to the family Herpesviridae. Once the virus infects a host cell, its double‑stranded DNA genome is delivered into the nucleus, where a coordinated cascade of immediate‑early, early, and late gene expression directs viral DNA replication, structural protein synthesis, and virion assembly. After primary infection of epithelial cells, HSV-1...
Arboviral Encephalitis
Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
Cytomegalovirus Disease
Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Genital Herpes
Genital herpes is a sexually transmitted infection primarily caused by herpes simplex virus type 2 (HSV-2), though herpes simplex virus type 1 (HSV-1) is increasingly implicated in genital infections, particularly among younger populations. Transmission occurs mainly through sexual contact, with asymptomatic viral shedding serving as a major route of spread. This characteristic makes HSV-2 difficult to control at a population level, as individuals may unknowingly transmit the virus even in the...
Encephalitis l: Introduction
Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Encephalitis ll: Pathophysiology
Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...


