Limbic Encephalitis Associated with Human Herpesvirus-7 (HHV-7) in an Immunocompetent Adult: The First Reported Case in Japan

被引:8
作者
Aburakawa, Yoko [1 ,2 ]
Katayama, Takayuki [1 ]
Saito, Tsukasa [1 ]
Sawada, Jun [1 ]
Suzutani, Tatsuo [3 ]
Aizawa, Hitoshi [1 ,4 ]
Hasebe, Naoyuki [1 ]
机构
[1] Asahikawa Med Univ, Dept Med 1, Div Neurol, Asahikawa, Hokkaido, Japan
[2] Natl Hosp Org, Asahikawa Med Ctr, Dept Neurol, Asahikawa, Hokkaido, Japan
[3] Fukushima Med Univ, Dept Microbiol, Fukushima, Hokkaido, Japan
[4] Tokyo Med Univ, Dept Neurol, Tokyo, Japan
关键词
encephalitis; human herpesvirus-7; adult; immunocompetent; CELL TRANSPLANT RECIPIENT; POLYMERASE-CHAIN-REACTION; CEREBROSPINAL-FLUID; PERIPHERAL-BLOOD; AND-7; INFECTIONS; ACUTE MYELITIS; HUMAN-HERPESVIRUS-7; DNA;
D O I
10.2169/internalmedicine.56.8185
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 35-year-old male who had not previously suffered any major illnesses was admitted to our hospital because of general fatigue, fever, headache, vomiting, consciousness disturbance, and seizures. A neurological examination showed that he was in a semi-comatose state and exhibited neck stiffness. Brain magnetic resonance imaging detected high-intensity areas in the bilateral hippocampi and periventricular white matter. A cerebrospinal fluid examination revealed mononuclear pleocytosis, an elevated protein level, and positivity for human herpesvirus-7 (HHV-7) DNA. The patient's condition improved after the administration of methylprednisolone, intravenous immunoglobulins, and acyclovir. This is the first known case of limbic encephalitis associated with HHV-7 in an immunocompetent Japanese adult.
引用
收藏
页码:1919 / 1923
页数:5
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