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免疫功能正常的成年患者中由人类疱疹病毒6型引起的脑膜脑炎:病例报告及文献复习

Meningoencephalitis caused by human herpesvirus-6 in an immunocompetent adult patient: case report and review of the literature.

作者信息

Torre D, Speranza F, Martegani R, Ferrante P, Omodeo-Zorini E, Mancuso R, Fiori G P

机构信息

Div. of Infectious Diseases, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.

出版信息

Infection. 1998 Nov-Dec;26(6):402-4. doi: 10.1007/BF02770845.

Abstract

Human herpesvirus-6 (HHV-6) is the etiologic agent of roseola infantum, and has been implicated as a possible cause of encephalitis in pediatric and adult patients. A case of meningoencephalitis in an otherwise healthy, immunocompetent 59-year-old woman is described. The diagnosis of HHV-6 meningoencephalitis was confirmed by detecting viral DNA in cerebrospinal fluid collected in the acute stage of the disease by polymerase chain reaction. The patient was treated with acyclovir and recovered without any sequelae. The current knowledge of the pathophysiology, clinical course and outcome of HHV-6 meningoencephalitis in immunocompetent adult patients is also reviewed.

摘要

人类疱疹病毒6型(HHV - 6)是幼儿急疹的病原体,并且被认为是儿科和成年患者脑炎的可能病因。本文描述了一例发生在一名59岁免疫功能正常的健康女性身上的脑膜脑炎病例。通过聚合酶链反应在疾病急性期采集的脑脊液中检测到病毒DNA,证实了HHV - 6脑膜脑炎的诊断。该患者接受了阿昔洛韦治疗,康复后未留下任何后遗症。本文还综述了免疫功能正常的成年患者中HHV - 6脑膜脑炎的病理生理学、临床病程及转归的现有知识。

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