De Fays C, Sadzot B
Service de Neurologie, CHU Sart Tilman, Liège, Belgique.
Rev Med Liege. 2008 Oct;63(10):585-7.
We report the story of a 81 year old man referred for confusion and unexplained hyperthermia. He had no meningeal sign. Routine emergency examinations (CT scanner and lumbar punction) were not contributory, but, later, PCR for herpes virus was highly positive and cerebral CT scan showed the temporal lobe necrosis typical of an herpes virus meningoencephalitis. This severe neurologic emergency is then shortly discussed.
我们报告了一名81岁男性因意识模糊和不明原因高热前来就诊的病例。他没有脑膜刺激征。常规急诊检查（CT扫描和腰椎穿刺）并无诊断价值，但后来，疱疹病毒的聚合酶链反应检测结果呈强阳性，脑部CT扫描显示出典型的疱疹病毒性脑膜脑炎的颞叶坏死。随后将简要讨论这一严重的神经科急症。
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