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Chronic Granulomatous Herpes Encephalitis: A Rare Entity Posing a Diagnostic Challenge
J Neurosurg Pediatrics 8:402-406, Adamo, M.A.,et al, 2011
See this aricle in Pubmed

Article Abstract
Rarely, however, it may progress to a chronic state, and more rarely still to a granulomatous encephalitis. Prior studies have suggested that antiviral immunity with Toll-like receptors determines susceptibility to herpes viruses. The authors report the case of a 14-year-old girl with a remote history of treated HSV encephalitis, who had intractable seizures and worsening MR imaging changes that were concerning for either a neoplastic or an inflammatory process. She was found to have granulomatous herpes simplex encephalitis and had a low cytokine response to Toll-like receptor 3 stimulation.
 
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calcification,intracranial
children
encephalitis
granulomatous disease
herpes encephalitis
herpes simplex encephalitis
herpes simplex encephalitis,atypical
herpes simplex encephalitis,chronic
herpes simplex encephalitis,extra temporal
herpes simplex encephalitis,infancy and childhood
herpes simplex encephalitis,recurrent
MRI,abnormal
MRI,contrast enhanced
neuropathology
polymerase chain reaction

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