Abstract

JAROLIN, María Jessica; CALDEROLI, Iván; FALCON, Jesús  and  CASTILLO, Atilio. Herpetic meningoencephalitis in an adult woman. Rev. virtual Soc. Parag. Med. Int. [online]. 2018, vol.5, n.1, pp.83-86.  Epub Mar 01, 2018. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2018.05(01)83-086.

We present the case of an older adult woman, previously healthy, with a history of asthenia and confusion symptoms of six days of evolution, febrile sensation and convulsive episode in one occassion. She presents right brachiocrural hemiparesis and neck stiffness. Simple skull tomography with hypodense image in the left frontotemporal region. Cerebrospinal fluid shows predominantly mononuclear leukocytes, PCR for herpes simplex type 1 positive. Encephalic magnetic resonance with images suggestive of herpetic encephalitis. She was treated with acyclovir recovering muscle strength in the limbs, but periods of lucidity and incoherence alternate.

Keywords : meningoencephalitis; herpes simplex; central nervous system infections.

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