<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932018000100083</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2018.05(01)83-086</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Meningoencefalitis herpética en mujer adulta]]></article-title>
<article-title xml:lang="en"><![CDATA[Herpetic meningoencephalitis in an adult woman]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jarolín]]></surname>
<given-names><![CDATA[María Jessica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderoli]]></surname>
<given-names><![CDATA[Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Falcón]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo]]></surname>
<given-names><![CDATA[Atilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Católica &#8220;Nuestra Señora de la Asunción&#8221;. Facultad de Medicina. ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Luque. Departamento de Medicina Interna. Servicio de Clínica Médica.]]></institution>
<addr-line><![CDATA[Luque ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de Luque Departamento de Medicina Interna. Servicio de Clínica Médica.]]></institution>
<addr-line><![CDATA[Luque ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>5</volume>
<numero>1</numero>
<fpage>83</fpage>
<lpage>86</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932018000100083&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932018000100083&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932018000100083&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se presenta el caso de una mujer adulta mayor, previamente sana, con antecedente de astenia y cuadro confusional de seis días de evolución, con sensación febril y episodio convulsivo en una oportunidad. Presenta hemiparesia braquiocrural derecha y rigidez de nuca. Tomografía simple de cráneo con imagen hipodensa en región frontotemporal izquierda. Líquido cefalorraquídeo muestra leucocitos a predominio de mononucleares, PCR para herpes simple tipo 1 positivo. Resonancia magnética encefálica con imágenes sugerentes de encefalitis herpética. Recibió tratamiento con aciclovir con lo que recupera la fuerza muscular en los miembros, pero alternan periodos de lucidez e incoherencia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT 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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[meningoencefalitis]]></kwd>
<kwd lng="es"><![CDATA[herpes simple]]></kwd>
<kwd lng="es"><![CDATA[infecciones del sistema nervioso central]]></kwd>
<kwd lng="en"><![CDATA[meningoencephalitis]]></kwd>
<kwd lng="en"><![CDATA[herpes simplex]]></kwd>
<kwd lng="en"><![CDATA[central nervous system infections]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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</article>
