Grezenko Han, Zafar Faryal, Nathaniel Eemaz, Aguirre Guillermo, Baluch Shariq K, Abubakar Muhammad
Translational Neuroscience, Barrow Neurological Institute, Phoenix, USA.
Medicine, Ziauddin University, Karachi, PAK.
Cureus. 2024 Jan 22;16(1):e52763. doi: 10.7759/cureus.52763. eCollection 2024 Jan.
We present a case of viral meningoencephalitis in a 40-year-old male with ischemic heart disease, a combination that is rare and presents unique diagnostic and therapeutic challenges. The patient's symptoms included high-grade fever, severe headache, projectile vomiting, and altered consciousness. The diagnosis was supported by MRI and CSF analysis. Management, complicated by the patient's cardiac condition, required a personalized approach, including antiviral therapy, corticosteroids, and vigilant monitoring of cardiac and neurological status. Treatment adjustments were made in response to the patient's evolving condition, leading to improvement within a week. This case underscores the need for a multidisciplinary approach in such complex scenarios, highlighting the significance of tailored care for patients with neurological symptoms and concurrent cardiac comorbidities. The report contributes to the literature on managing meningoencephalitis in patients with significant cardiac histories, underscoring personalized medicine's role in successful outcomes.
我们报告一例40岁患有缺血性心脏病的男性病毒性脑膜脑炎病例，这种组合较为罕见，带来了独特的诊断和治疗挑战。患者的症状包括高热、剧烈头痛、喷射性呕吐和意识改变。MRI和脑脊液分析支持了诊断。由于患者的心脏状况，管理变得复杂，需要个性化方法，包括抗病毒治疗、皮质类固醇以及对心脏和神经状态的密切监测。根据患者病情的发展进行了治疗调整，一周内病情有所改善。该病例强调了在这种复杂情况下采用多学科方法的必要性，突出了对有神经症状和并发心脏合并症患者进行个性化护理的重要性。该报告为有关有重要心脏病史患者的脑膜脑炎管理的文献做出了贡献，强调了个性化医疗在取得成功结果中的作用。
