PMID- 18637823 OWN - NLM STAT- MEDLINE DCOM- 20081222 LR - 20151113 IS - 1468-1331 (Electronic) IS - 1351-5101 (Linking) VI - 15 IP - 9 DP - 2008 Sep TI - Aseptic meningitis and encephalitis because of herpesviruses and enteroviruses in an immunocompetent adult population. PG - 995-7 LID - 10.1111/j.1468-1331.2008.02233.x [doi] AB - BACKGROUND AND AIM: Human herpesviruses (HHVs) and enteroviruses (EVs) are the major causative agents of CNS viral infections. The aim of the study was to identify the etiology and determine the frequency of aseptic meningitis and encephalitis due to HHVs and EVs in an immunocompetent adult population. METHODS: Eighty-one patients (ages >or=15) with aseptic meningitis or encephalitis treated in the Infectious Diseases Hospital of Thessaloniki, Greece, during 2003-2006, were included in the study. Polymerase chain reaction for detection of herpes- and enterovirus genome direct in cerebrospinal fluid samples was performed. RESULTS: Based on clinical and laboratory data, 36/81 patients had meningitis and 45/81 had encephalitis. Etiology was defined in 11 patients (31%) with aseptic meningitis. EVs were the major causative agents (8/36, 22%), followed by varicella zoster virus (2/36, 5%) and herpes simplex virus-2 (HSV-2) (1/36, 3%). Etiology was identified in 8 of 45 (18%) patients with encephalitis, EV (4/45, 9%) and HSV-1 (4/45, 9%) being the most common pathogens. CONCLUSION: Enteroviruses are the most common cause of adult aseptic meningitis and together with HSV-1 the main causes of encephalitis. FAU - Frantzidou, F AU - Frantzidou F AD - A Department of Microbiology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece. filanthi@med.auth.gr FAU - Kamaria, F AU - Kamaria F FAU - Dumaidi, K AU - Dumaidi K FAU - Skoura, L AU - Skoura L FAU - Antoniadis, A AU - Antoniadis A FAU - Papa, A AU - Papa A LA - eng PT - Journal Article DEP - 20080714 PL - England TA - Eur J Neurol JT - European journal of neurology JID - 9506311 RN - 0 (DNA, Viral) RN - 0 (RNA, Viral) SB - IM MH - Adolescent MH - Adult MH - Aged MH - DNA, Viral/cerebrospinal fluid MH - Encephalitis, Herpes Simplex/cerebrospinal fluid/epidemiology/virology MH - Encephalitis, Viral/cerebrospinal fluid/*epidemiology/virology MH - Enterovirus/isolation & purification MH - Enterovirus Infections/cerebrospinal fluid/*epidemiology MH - Female MH - Greece/epidemiology MH - Herpesviridae Infections/cerebrospinal fluid/*epidemiology MH - Herpesvirus 1, Human/isolation & purification MH - Herpesvirus 2, Human/isolation & purification MH - Humans MH - Immunocompetence MH - Male MH - Meningitis, Aseptic/cerebrospinal fluid/*epidemiology/virology MH - Middle Aged MH - RNA, Viral/cerebrospinal fluid EDAT- 2008/07/22 09:00 MHDA- 2008/12/23 09:00 CRDT- 2008/07/22 09:00 PHST- 2008/07/22 09:00 [pubmed] PHST- 2008/12/23 09:00 [medline] PHST- 2008/07/22 09:00 [entrez] AID - ENE2233 [pii] AID - 10.1111/j.1468-1331.2008.02233.x [doi] PST - ppublish SO - Eur J Neurol. 2008 Sep;15(9):995-7. doi: 10.1111/j.1468-1331.2008.02233.x. Epub 2008 Jul 14.