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复发性单纯疱疹病毒2型脑膜炎:一例被误诊多年的莫拉雷脑膜炎病例。

Recurrent HSV-2 Meningitis: A Case of Mollaret's Meningitis Misdiagnosed for Years.

作者信息

Haider Ali, Rizwan Hassan, Ahamed Fayyas, Rahman Hasanur, Abdulmajeed Mohamed

机构信息

General Internal Medicine, Luton and Dunstable University Hospital, Luton, GBR.

Medicine, Divisional Headquarters Teaching Hospital Mirpur, Azad Jammu and Kashmir, PAK.

出版信息

Cureus. 2025 Aug 28;17(8):e91154. doi: 10.7759/cureus.91154. eCollection 2025 Aug.

Abstract

We present a rare case of Mollaret's meningitis in a middle-aged man who experienced recurrent episodes of aseptic meningitis over several years, repeatedly misdiagnosed and treated empirically without definitive virological confirmation. Diagnosis was eventually established by detecting herpes simplex virus type 2 (HSV-2) DNA in cerebrospinal fluid (CSF) via polymerase chain reaction (PCR). Awareness of this condition and prompt PCR testing facilitated appropriate antiviral therapy and avoidance of unnecessary broad-spectrum antibiotics. This case highlights the importance of considering HSV-2 in patients with recurrent lymphocytic meningitis and educating them about the benign, recurrent nature of this syndrome.

摘要

我们报告了一例罕见的莫拉雷脑膜炎病例,患者为中年男性,数年来反复出现无菌性脑膜炎发作,多次被误诊并接受经验性治疗,未得到明确的病毒学确诊。最终通过聚合酶链反应(PCR)检测脑脊液(CSF)中的2型单纯疱疹病毒(HSV-2)DNA得以确诊。认识到这种疾病并及时进行PCR检测有助于实施适当的抗病毒治疗,并避免使用不必要的广谱抗生素。该病例强调了在复发性淋巴细胞性脑膜炎患者中考虑HSV-2感染的重要性,并让他们了解这种综合征的良性、复发性本质。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f564/12475911/b14c09da0b06/cureus-0017-00000091154-i01.jpg

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