Nebeluk Nazary, Lukin Robert, Alkayali Talal, Talwani Rohit
Department of Internal Medicine, University of Maryland Medical Center, Baltimore, MD, United States.
Division of Infectious Disease, Department of Internal Medicine, University of Maryland Medical Center, Baltimore, MD, United States.
IDCases. 2023 Sep 28;34:e01899. doi: 10.1016/j.idcr.2023.e01899. eCollection 2023.
A 36-year-old male with headaches was empirically treated for herpes simplex virus meningitis; CSF PCR testing later confirmed varicella zoster virus meningitis. Valacyclovir was increased to 2 g QID for remaining duration of therapy with full recovery. This case highlights the importance of comprehensive testing and proper treatment adjustment for rarer etiologies of aseptic meningitis.
一名36岁男性因头痛接受了单纯疱疹病毒性脑膜炎的经验性治疗；脑脊液聚合酶链反应检测后来确诊为水痘带状疱疹病毒性脑膜炎。伐昔洛韦剂量增加至每日4次、每次2克，直至治疗结束，患者完全康复。该病例凸显了对无菌性脑膜炎罕见病因进行全面检测和适当调整治疗的重要性。
