Coghlan J G, Monaghan C, Carney P A, Moran J H
Department of Neurology, Regional Hospital, Galway, Irish Republic.
Postgrad Med J. 1987 Nov;63(745):973-4. doi: 10.1136/pgmj.63.745.973.
We present a case of probable tuberculous meningitis in which serological changes 'diagnostic' of herpes simplex encephalitis were found. Evidence is provided that the serological changes in this case represent a true false positive, and that reliance on clinical plus serological criteria to diagnose herpes simplex encephalitis could result in failure to diagnose and treat tuberculous meningitis.
我们报告一例疑似结核性脑膜炎病例,该病例出现了单纯疱疹病毒性脑炎的血清学诊断性变化。有证据表明,该病例中的血清学变化代表了真正的假阳性,并且依靠临床加血清学标准诊断单纯疱疹病毒性脑炎可能导致结核性脑膜炎的漏诊和漏治。