Herpetic Encephalitis during Pregnancy: Case Report

Illia, Ricardo

doi:10.15406/mojwh.2017.04.00074

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2020

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“…A small number of cases of viral meningitis in pregnancy complicated by encephalitis can be found in the literature. One woman required haemodialysis and emergency caesarean section in the maternal interest due to acute onset of HSV encephalitis at 33 weeks' gestation [8]. Another developed encephalitis associated with West Nile virus meningitis at 38 weeks' gestation [9].…”

Section: Discussionmentioning

confidence: 99%

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Viral meningitis in pregnancy: A case report

Roseingrave¹,

Lalchandani²

2020

Clin J Obstet Gynecol

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Ms X is a 34 year old para 1 woman who presented at 26+5 weeks’ gestation with fever, neurological symptoms and history of a viral illness. She was treated empirically for bacterial meningitis and transferred to a tertiary maternity hospital. Cerebrospinal fluid (CSF) polymerase chain reaction (PCR) was positive for enteroviral ribonucleic acid (RNA), confirming viral meningitis. Ms X improved clinically and was discharged after six days. A high index of suspicion is required for diagnosis of meningitis in pregnancy. Thorough history, examination and workup is vital for timely treatment. Prognosis in viral meningitis is excellent with no clear adverse fetal or neonatal outcomes.

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Section: Discussionmentioning

confidence: 99%

“…Another developed encephalitis associated with West Nile virus meningitis at 38 weeks' gestation [9]. Both patients were treated with empirical antimicrobial and antiviral therapies, and given supportive treatment and close fetal monitoring [8,9].…”

Section: Discussionmentioning

confidence: 99%