Anti-N-Methyl-D-Aspartate Receptor Encephalitis In A Young Child With Histological Evidence On Brain Biopsy Of Coexistent Herpes Simplex Virus Type 1 Infection

Pediatr Infect Dis J. 2016 Mar;35(3):347-9. doi: 10.1097/INF.0000000000001011.

Abstract

We report a 3-year-old boy with anti-N-methyl-D-aspartate receptor encephalitis with a typical syndrome of movement disorder and encephalopathy and evidence of herpes simplex virus (HSV) type 1 infection on brain biopsy. HSV type 1 infection and anti-N-methyl-D-aspartate receptor encephalitis are temporally linked in some cases: this case suggests that prodromal HSV type-1 infection may be clinically subtle and easily missed.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-N-Methyl-D-Aspartate Receptor Encephalitis / complications*
  • Anti-N-Methyl-D-Aspartate Receptor Encephalitis / diagnosis*
  • Anti-N-Methyl-D-Aspartate Receptor Encephalitis / drug therapy
  • Antiviral Agents / therapeutic use
  • Autoantibodies
  • Biopsy
  • Brain / metabolism
  • Brain / pathology*
  • Brain / virology
  • Child, Preschool
  • Encephalitis, Herpes Simplex / complications*
  • Encephalitis, Herpes Simplex / diagnosis*
  • Encephalitis, Herpes Simplex / drug therapy
  • Encephalitis, Herpes Simplex / virology
  • Herpesvirus 1, Human / classification
  • Herpesvirus 1, Human / genetics
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Magnetic Resonance Imaging
  • Male
  • Polymerase Chain Reaction
  • Treatment Outcome

Substances

  • Antiviral Agents
  • Autoantibodies
  • Immunosuppressive Agents