Double encephalitis with herpes simplex virus type II and cytomegalovirus in an elder Chinese: a case report

Abstract

Chaobiao Xue,1,2 Shaoxian Chen,1 Qi Lin,1 Houshi Zhou,1 Chuming Huang,1 Jiyuan Lin,1 Weihang Xie,1 Kai Chen,1 Dongming Zhou,1 Wan Ma,1 Feiyu Ma,1 Haiyun Xu2 1Outpatient Department, Shantou Central Hospital, Affiliated Shantou Hospital of Sun Yat-sen University, 2Mental Health Center, Shantou University Medical College, Shantou, Guangdong, People’s Republic of China Abstract: Herpes simplex encephalitis is a rare disease. In adults, most of the reported cytomegalovirus (CMV) infections are seen in immunocompromised patients. We present a case of 67-year-old Chinese male with the coinfection of CMV and herpes simplex virus type II (HSV-II). He had no history of being treated with immunosuppressants, showed symptoms of psychosis and was scored 109 on the Positive and Negative Syndrome Scale. This patient presented with a rare case of coinfection of CMV and herpes simplex virus type II with psychotic symptoms. Keywords: brain, viral coinfection, psychotic symptoms