Izquierdo Giannina, Cofré José, Torres J Pablo, Venegas Gerardo, Vergara Alejandra, Farfán Mauricio
Programa de Formación en Infectología Pediátrica, Universidad de Chile, Chile.
Rev Chilena Infectol. 2012 Aug;29(4):464-7. doi: 10.4067/S0716-10182012000400019.
Herpes simplex encephalitis is a diagnostic challenge and causes high morbidity and mortality in children. Early suspicion of the disease and a rapid, safe and useful diagnostic test are relevant because up to 70% of the cases may die. We report the case of a newborn girl aged 25 days, who presented with a clinical picture that was compatible with herpes simplex encephalitis where the confirmation of the etiological diagnosis was delayed. Only by repeated real-time polymerase chain reaction it was possible to confirm the presence of herpes simplex virus type 1 in the cerebrospinal fluid.
单纯疱疹性脑炎是一项诊断难题,可导致儿童出现高发病率和死亡率。尽早怀疑该病并进行快速、安全且有效的诊断检测至关重要,因为高达70%的病例可能死亡。我们报告了一例25天大的新生女婴病例,其临床表现符合单纯疱疹性脑炎,但病因诊断的确认有所延迟。仅通过反复的实时聚合酶链反应才得以确认脑脊液中存在1型单纯疱疹病毒。