Human Herpesvirus-6 Infectious Meningitis With Lymphadenitis in an Immunocompetent Adult

IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES
Yu Xie, Chenrui Zhang, Mingchi Ma, Ziqian Yin, Liqian Chen, Yimiao Yang, Shuang Wu, Yuanteng Fan, Yan Xu, Dan He
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引用次数: 0

Abstract

Purpose

Human Herpesvirus 6 (HHV-6) infections are primarily observed in immunocompromised individuals, such as those with acquired immunodeficiency syndrome or organ transplant recipients. However, its role as a pathogen in immunocompetent adults remains debated. We aimed to explore the clinical significance of HHV-6 in immunocompetent individuals by presenting a case of HHV-6-associated meningitis with concurrent lymphadenitis.

Method

We describe a case of an immunocompetent adult presenting with recurrent fever and headaches.

Finding

Diagnostic evaluations included next-generation sequencing analysis identified HHV-6 in both cerebrospinal fluid specimens and lymphoid tissue samples. The patient demonstrated complete clinical resolution following a 14-day course of ganciclovir therapy.

Conclusion

This case underscores the need to consider HHV-6 infection in immunocompetent adults presenting with meningitis of unknown etiology. Early detection and targeted antiviral therapy may lead to favorable clinical outcomes

Abstract Image

免疫正常成人疱疹病毒-6型感染性脑膜炎伴淋巴结炎
人类疱疹病毒6型(HHV-6)感染主要见于免疫功能低下的个体,如获得性免疫缺陷综合征患者或器官移植接受者。然而,其在免疫功能正常的成人中作为病原体的作用仍存在争议。我们通过报道一例HHV-6相关脑膜炎并发淋巴结炎的病例,旨在探讨HHV-6在免疫功能正常个体中的临床意义。方法我们描述了一个免疫功能正常的成年人的情况下,表现为反复发烧和头痛。诊断评估包括新一代测序分析,在脑脊液样本和淋巴组织样本中发现HHV-6。患者在接受了14天的更昔洛韦治疗后表现出完全的临床缓解。结论:本病例强调有必要考虑HHV-6感染的免疫功能正常的成人呈现不明原因的脑膜炎。早期发现和靶向抗病毒治疗可能导致良好的临床结果
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来源期刊
Brain and Behavior
Brain and Behavior BEHAVIORAL SCIENCES-NEUROSCIENCES
CiteScore
5.30
自引率
0.00%
发文量
352
审稿时长
14 weeks
期刊介绍: Brain and Behavior is supported by other journals published by Wiley, including a number of society-owned journals. The journals listed below support Brain and Behavior and participate in the Manuscript Transfer Program by referring articles of suitable quality and offering authors the option to have their paper, with any peer review reports, automatically transferred to Brain and Behavior. * [Acta Psychiatrica Scandinavica](https://publons.com/journal/1366/acta-psychiatrica-scandinavica) * [Addiction Biology](https://publons.com/journal/1523/addiction-biology) * [Aggressive Behavior](https://publons.com/journal/3611/aggressive-behavior) * [Brain Pathology](https://publons.com/journal/1787/brain-pathology) * [Child: Care, Health and Development](https://publons.com/journal/6111/child-care-health-and-development) * [Criminal Behaviour and Mental Health](https://publons.com/journal/3839/criminal-behaviour-and-mental-health) * [Depression and Anxiety](https://publons.com/journal/1528/depression-and-anxiety) * Developmental Neurobiology * [Developmental Science](https://publons.com/journal/1069/developmental-science) * [European Journal of Neuroscience](https://publons.com/journal/1441/european-journal-of-neuroscience) * [Genes, Brain and Behavior](https://publons.com/journal/1635/genes-brain-and-behavior) * [GLIA](https://publons.com/journal/1287/glia) * [Hippocampus](https://publons.com/journal/1056/hippocampus) * [Human Brain Mapping](https://publons.com/journal/500/human-brain-mapping) * [Journal for the Theory of Social Behaviour](https://publons.com/journal/7330/journal-for-the-theory-of-social-behaviour) * [Journal of Comparative Neurology](https://publons.com/journal/1306/journal-of-comparative-neurology) * [Journal of Neuroimaging](https://publons.com/journal/6379/journal-of-neuroimaging) * [Journal of Neuroscience Research](https://publons.com/journal/2778/journal-of-neuroscience-research) * [Journal of Organizational Behavior](https://publons.com/journal/1123/journal-of-organizational-behavior) * [Journal of the Peripheral Nervous System](https://publons.com/journal/3929/journal-of-the-peripheral-nervous-system) * [Muscle & Nerve](https://publons.com/journal/4448/muscle-and-nerve) * [Neural Pathology and Applied Neurobiology](https://publons.com/journal/2401/neuropathology-and-applied-neurobiology)
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