Herpes simplex 1 encephalitis presenting as a brain haemorrhage with normal cerebrospinal fluid analysis: a case report
2008

Herpes Simplex Encephalitis with Normal CSF Analysis

publication Evidence: low

Author Information

Author(s): Gkrania-Klotsas Effrossyni, Lever Andrew ML

Primary Institution: Addenbrooke's Hospital, University of Cambridge Teaching Hospital NHS Trust

Conclusion

Herpes simplex encephalitis can present with brain hemorrhage and normal cerebrospinal fluid analysis, highlighting the need for clinical awareness.

Supporting Evidence

  • Herpes simplex encephalitis can be fatal if not treated promptly.
  • New diagnostic techniques are improving the identification of herpes simplex encephalitis.
  • Normal cerebrospinal fluid analysis does not rule out herpes simplex encephalitis.

Takeaway

Sometimes, a brain infection called herpes simplex encephalitis can happen even if tests on the fluid around the brain look normal. It's important for doctors to be aware of this.

Methodology

The diagnosis was made using cerebrospinal fluid polymerase chain reaction for herpes simplex virus.

Limitations

The case is based on a single patient, which may limit generalizability.

Participant Demographics

A 46-year-old heterosexual male with no significant past medical history.

Digital Object Identifier (DOI)

10.1186/1752-1947-2-387

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