Chronic active destructive herpes simplex encephalitis with recovery of viral DNA 12 years after disease onset.

Abstract:

:Acute herpes simplex encephalitis (HSE) carries significant morbidity and mortality even after early treatment with antiviral agents (7). As well as causing acute neurological disease, Herpes viruses are associated with relapsing--remitting (Varicella--Zoster, Epstein-Barr) and chronic (Rasmussen encephalitis) disease processes (1). A two-year-old girl developed acute HSE which was followed by a 10-year neurologic illness characterised by asymmetric spastic tetraparesis, pseudobulbar palsy, the opercular syndrome of Foix-Chavany-Marie (4) and seizures. The neurological signs remained static until the child died suddenly 12 years after disease onset. Neuropathologic examination demonstrated active chronic encephalitis. Herpes simplex virus (HSV) DNA was recovered from formalin-fixed paraffin-embedded brain tissue. This case provides additional evidence for the development of chronic neurological disease attributable to persistence of herpes simplex virus type 1.

journal_name

Neuropediatrics

journal_title

Neuropediatrics

authors

Asenbauer B,McEntagart M,King MD,Gallagher P,Burke M,Farrell MA

doi

10.1055/s-2007-973546

subject

Has Abstract

pub_date

1998-06-01 00:00:00

pages

120-3

issue

3

eissn

0174-304X

issn

1439-1899

journal_volume

29

pub_type

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