Cerebral HSV-1 Vasculitis as a Fatal Complication of Immunosuppression in Non-Hodgkin´s Lymphoma: A Case Report and Review of the Literature.

Non-Hodgkin´s lymphoma cerebral vasculitis immunosuppression. opportunistic infection splenic marginal cell lymphoma viral encephalitis

Journal

Pathogens (Basel, Switzerland)
ISSN: 2076-0817
Titre abrégé: Pathogens
Pays: Switzerland
ID NLM: 101596317

Informations de publication

Date de publication:
05 Mar 2020
Historique:
received: 23 01 2020
revised: 02 03 2020
accepted: 05 03 2020
entrez: 11 3 2020
pubmed: 11 3 2020
medline: 11 3 2020
Statut: epublish

Résumé

Patients with lymphoma are predisposed to infection because of the immunocompromised state related to the disease itself and as a consequence of chemo-/radiotherapy. Here, we report a case of Herpes-simplex virus encephalitis (HSE) in an immunosuppressed patient with splenic marginal zone lymphoma (SMZL), a rare indolent variant of non-Hodgkin´s lymphoma (NHL). The course was complicated febrile neutropenia and HSV-1-related cerebral vasculitis causing progressive ischemic stroke. This case illustrates the expanding spectrum of atypical clinical and radiological manifestations of HSE in patients treated with myelotoxic drugs. Moreover, we summarize the few central nervous system manifestations of SMZL reported in the literature and discuss distinct causes of neurological deterioration in patients with NHL.

Identifiants

pubmed: 32151046
pii: pathogens9030193
doi: 10.3390/pathogens9030193
pmc: PMC7157652
pii:
doi:

Types de publication

Case Reports

Langues

eng

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

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Auteurs

Raffaele Nardone (R)

Department of Neurology, Franz Tappeiner Hospital, 39012 Merano, Italy.

Luca Carnicelli (L)

Department of Neurology, Franz Tappeiner Hospital, 39012 Merano, Italy.

Francesco Brigo (F)

Department of Neurology, Franz Tappeiner Hospital, 39012 Merano, Italy.

Slaven Pikija (S)

Department of Neurology, Christian Doppler Medical Center, Paracelsus University Salzburg, 5020 Salzburg, Austria.

Larissa Hauer (L)

Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Christian Doppler Medical Center, Paracelsus University Salzburg, 5020 Salzburg, Austria.

Johann Sellner (J)

Department of Neurology, Christian Doppler Medical Center, Paracelsus University Salzburg, 5020 Salzburg, Austria.
Department of Neurology, Klinikum rechts der Isar, Technische Universität München, 81675 München, Germany.
Department of Neurology, Krankenhaus Mistelbach-Gänserndorf, 2130 Mistelbach, Austria.

Classifications MeSH