无发烧的HSV-2脑炎与放射性无型症和最小的系统性炎症:一个病例报告
Shunsuke Kondo1, Wejdan Abo Qayas2, Osama Hasan1
1Department of Internal Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, USA.
The American journal of case reports
|November 30, 2025
概括
简单疹病毒2型 (HSV-2) 脑炎可以影响免疫能力强的个体,没有发烧,并且存在异常的大脑成像. 早期诊断和治疗对于HSV-2脑炎病例的积极结果至关重要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 简单疹病毒2型 (HSV-2) 是脑炎的不常见原因,占病例的不到2%.
- HSV脑炎通常涉及半叶,但HSV-2可以异常呈现.
研究的目的:
- 报告一个患有HSV-2脑炎的病例,该病例发生在一个免疫能力强,无发烧的患者身上,并有非经典的成像检测结果.
- 突出考虑HSV-2在新发作的差异诊断中的重要性.
主要方法:
- 一个30岁的妇女患有发作和肝硬化病例报告.
- 大脑MRI显示多焦点皮质和皮下T2 / FLAIR超强度.
- 大脑脊髓液 (CSF) 的PCR证实HSV-2阳性.
主要成果:
- 该患者出现了无发烧的新发作和不典型的脑MRI发现.
- 脊髓的分析证实了HSV-2感染.
- 静脉注射阿西克洛维尔治疗导致临床改善.
结论:
- HSV-2脑炎可以发生在免疫能力强,无发烧的个体中.
- 非典型的神经成像检测结果不应将HSV-2排除在差异诊断之外.
- 及时的抗病毒治疗对于HSV-2脑炎的良好结果至关重要.
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