Nago Brenden, Liu Jeffrey E
University of Hawaii, John A. Burns School of Medicine, Honolulu, HI, United States.
Bellevue High School, Bellevue, WA, United States.
IDCases. 2024 Dec 4;39:e02124. doi: 10.1016/j.idcr.2024.e02124. eCollection 2025.
The authors report a case of varicella zoster encephalitis, mimicking a glioblastoma on Magnetic Resonance Imaging (MRI) and Magnetic Resonance Spectroscopy (MRS). The limitations of MRI/MRS, may lead to delayed treatment with antiviral agents, which can result in increased morbidity and mortality. The possibility of viral encephalitis should remain in the differential diagnosis of all patients presenting with headaches and confusion, even when imaging results are indicative of a neoplastic process.
作者报告了一例水痘带状疱疹性脑炎病例，该病例在磁共振成像（MRI）和磁共振波谱（MRS）上表现类似胶质母细胞瘤。MRI/MRS的局限性可能导致抗病毒药物治疗延迟，进而增加发病率和死亡率。对于所有出现头痛和意识模糊的患者，即使影像学结果提示为肿瘤性病变，也应在鉴别诊断中考虑病毒性脑炎的可能性。
