[Confusion and unexplained fever in an elderly man: a case report].
We report the story of a 81 year old man referred for confusion and unexplained hyperthermia. He had no meningeal sign. Routine emergency examinations (CT scanner and lumbar punction) were not contributory, but, later, PCR for herpes virus was highly positive and cerebral CT scan showed the temporal lobe necrosis typical of an herpes virus meningoencephalitis. This severe neurologic emergency is then shortly discussed.
De Fays
C
C
Service de Neurologie, CHU Sart Tilman, Liège, Belgique.
Sadzot
B
B
D000212:Acyclovir / Q000627:therapeutic use; D000369:Aged, 80 and over; D000998:Antiviral Agents / Q000627:therapeutic use; D003221:Confusion / Q000821:virology*; D004279:DNA, Viral / Q000134:cerebrospinal fluid; D020803:Encephalitis, Herpes Simplex / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D005334:Fever / Q000821:virology*; D006801:Humans; D008297:Male; D016133:Polymerase Chain Reaction; D018139:Simplexvirus / Q000235:genetics / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000998:Antiviral Agents; D004279:DNA, Viral; D000212:Acyclovir