人类疱疹病毒性脑膜脑炎合并低钠血症一例报告

Human Herpes Virus Meningoencephalitis Combined with Hyponatremia: A Case Report

病毒性脑膜脑炎是临床上常见的颅内感染性疾病,其主要由肠道病毒感染引起,如柯萨奇病毒、埃可病毒、脊髓灰质炎病毒等,其次由疱疹病毒感染引起如单纯疱疹病毒、人类疱疹病毒(EB病毒)等。低钠血症为儿科临床常见病,多伴发于其他疾病。颅内感染性疾病及低钠血症严重时均会有惊厥或癫痫样症状,但颅内感染性疾病及低钠血症出现惊厥或癫痫样症状时,临床处理原则迥异。本文报告1例人类疱疹病毒性脑膜脑炎合并低钠血症伴有癫痫症状的临床病例。

Viral meningoencephalitis is a common clinical intracranial infection,which is mainly caused by enterovirus infections such as Coxsackie virus,ECHO virus and polio virus,as well as the herpes virus such as herpes simplex virus and EB virus.Hyponatremia is a common pediatric clinical disease,mostly associated with other diseases.Intracranial infections and severe hyponatremia both show convulsions or epileptic symptoms,but should be treated with different clinical principles.We report a case of herpes viral meningitis combined with hyponatremia showing symptoms of epilepsy.