Human herpesvirus 6 encephalitis simulating brain metastases in a patient with advanced small-cell lung cancer.

Abstract:

BACKGROUND:The brain is a frequent site of metastases in small-cell lung cancer. Symptoms of cerebral involvement are headache, disorientation, nausea/vomiting and seizures. CASE:A man with small-cell lung cancer developed a human herpesvirus 6 (HHV-6) meningoencephalitis with neurological symptoms that simulated brain involvement from the lung cancer. HHV-6 is a T cell lymphotropic virus which may be pathogenic in the immunocompromised host. HHV-6 remains latent after the first infection, and when the immune system is compromised it can reactivate. The treatment of HHV-6 infection is highly specific and the drugs recommended are the two antivirals, ganciclovir or foscarnet. CONCLUSION:In cancer patients neurologic symptoms are usually due to brain metastases. This case shows that in a cancer patient any aspecific neurologic symptom should be carefully evaluated in order to exclude a non-oncologic cause. This statement is particularly true if the therapies for the oncological and neurological diseases are effective.

journal_name

Chemotherapy

journal_title

Chemotherapy

authors

Mordenti P,Zaffignani E,Immovilli P,Nobili E,Cavanna L

doi

10.1159/000360616

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

385-6

issue

5

eissn

0009-3157

issn

1421-9794

pii

000360616

journal_volume

59

pub_type

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