Skip to main content
Top
Published in: European Journal of Clinical Microbiology & Infectious Diseases 7/2004

01-07-2004 | Concise Article

Mollaret’s meningitis caused by herpes simplex virus type 2: case report and literature review

Authors: J. S. Dylewski, S. Bekhor

Published in: European Journal of Clinical Microbiology & Infectious Diseases | Issue 7/2004

Login to get access

Abstract

Presented here is a new case of benign recurrent aseptic meningitis, or Mollaret’s meningitis, in which cerebrospinal fluid was positive for herpes simplex virus type 2 using the polymerase chain reaction test. A search of the existing medical literature revealed 58 previously reported cases of Mollaret’s meningitis in which samples of cerebrospinal fluid were tested for herpes simplex virus. Discussed here are the history, clinical and laboratory findings, differential diagnoses and therapeutic options for this illness.
Literature
1.
go back to reference Mollaret P (1944) La méningite endothélio-leukocytaire multirécurrente bénigne: syndrome nouveau ou maladie nouvelle? Rev Neurol (Paris) 76:57–76 Mollaret P (1944) La méningite endothélio-leukocytaire multirécurrente bénigne: syndrome nouveau ou maladie nouvelle? Rev Neurol (Paris) 76:57–76
2.
go back to reference Yamamoto LJ, Tedder DG, Ashley R, Levin MJ (1991) Herpes simplex virus type 1 DNA in cerebrospinal fluid of a patient with Mollaret’s meningitis. N Engl J Med 325:1082–1085PubMed Yamamoto LJ, Tedder DG, Ashley R, Levin MJ (1991) Herpes simplex virus type 1 DNA in cerebrospinal fluid of a patient with Mollaret’s meningitis. N Engl J Med 325:1082–1085PubMed
3.
go back to reference Picard FJ, Dekaban GA, Silva J, Rice GP (1993) Mollaret’s meningitis associated with herpes simplex type 2 infection. Neurology 43:1722–1727PubMed Picard FJ, Dekaban GA, Silva J, Rice GP (1993) Mollaret’s meningitis associated with herpes simplex type 2 infection. Neurology 43:1722–1727PubMed
4.
go back to reference Cohen BA, Rowley A, Long CM (1994) Herpes simplex type 2 in a patient with Mollaret’s meningitis: Demonstration by polymerase chain reaction. Ann Neurol 35:112–116PubMed Cohen BA, Rowley A, Long CM (1994) Herpes simplex type 2 in a patient with Mollaret’s meningitis: Demonstration by polymerase chain reaction. Ann Neurol 35:112–116PubMed
5.
go back to reference Tedder DG, Ashley R, Tyler KL, Levin MJ (1994) Herpes simplex virus infection as a cause of benign recurrent lymphocytic meningitis. Ann Intern Med 121:334–338PubMed Tedder DG, Ashley R, Tyler KL, Levin MJ (1994) Herpes simplex virus infection as a cause of benign recurrent lymphocytic meningitis. Ann Intern Med 121:334–338PubMed
6.
go back to reference Bachmeyer C, de la Blanchardiere A, Lepercq J et al (1996) Recurring episodes of meningitis (Mollaret’s meningitis) with one showing an association with herpes simplex virus type 2. J Infect 32:247–248CrossRefPubMed Bachmeyer C, de la Blanchardiere A, Lepercq J et al (1996) Recurring episodes of meningitis (Mollaret’s meningitis) with one showing an association with herpes simplex virus type 2. J Infect 32:247–248CrossRefPubMed
7.
go back to reference Jensensius M, Myrvang B, Storvold G, Bucher A, Hellum KB, Bruu AL (1998) Herpes simplex virus type 2 DNA detected in cerebrospinal fluid of 9 patients with Mollaret’s meningitis. Acta Neurol Scand 98:209–212PubMed Jensensius M, Myrvang B, Storvold G, Bucher A, Hellum KB, Bruu AL (1998) Herpes simplex virus type 2 DNA detected in cerebrospinal fluid of 9 patients with Mollaret’s meningitis. Acta Neurol Scand 98:209–212PubMed
8.
go back to reference Gignoux L, Ryvlin P, Najioullah F, Maugiere F (1998) Recurrent Mollaret’s meningitis of herpetic origin. Presse Medicale 27:1470–1472 Gignoux L, Ryvlin P, Najioullah F, Maugiere F (1998) Recurrent Mollaret’s meningitis of herpetic origin. Presse Medicale 27:1470–1472
9.
go back to reference Tang YW, Cleavinger PJ, Li H, Mitchell PS, Smith TF, Persing DH (2000) Analysis of candidate-host immunogenetic determinants in herpes simplex virus-associated Mollaret’s meningitis. Clin Infect Dis 30:176–178CrossRefPubMed Tang YW, Cleavinger PJ, Li H, Mitchell PS, Smith TF, Persing DH (2000) Analysis of candidate-host immunogenetic determinants in herpes simplex virus-associated Mollaret’s meningitis. Clin Infect Dis 30:176–178CrossRefPubMed
10.
go back to reference Kojima Y, Hashiguchi H, Hashimoto T, Tsuji S, Shoji H, Kazuyama Y (2002) Recurrent herpes simplex virus type 2 meningitis: a case report of Mollaret’s meningitis. Jpn J Infect Dis 55:85–88PubMed Kojima Y, Hashiguchi H, Hashimoto T, Tsuji S, Shoji H, Kazuyama Y (2002) Recurrent herpes simplex virus type 2 meningitis: a case report of Mollaret’s meningitis. Jpn J Infect Dis 55:85–88PubMed
11.
go back to reference Johnson G, Nelson S, Petric M, Tellier R (2000) Comprehensive PCR-based assay for detection and species identification of human herpesviruses. J Clin Microbiol 38:3274–3279PubMed Johnson G, Nelson S, Petric M, Tellier R (2000) Comprehensive PCR-based assay for detection and species identification of human herpesviruses. J Clin Microbiol 38:3274–3279PubMed
12.
go back to reference Chan TY, Parwani AV, Levi AW, Ali SZ (2003) Mollaret’s meningitis: cytopathologic analysis of fourteen cases. Diagn Cytopathol 28:227–231CrossRefPubMed Chan TY, Parwani AV, Levi AW, Ali SZ (2003) Mollaret’s meningitis: cytopathologic analysis of fourteen cases. Diagn Cytopathol 28:227–231CrossRefPubMed
13.
go back to reference Bruyn GW, Staathof LJA, Raymakers GMJ (1962) Mollaret’s meningitis: differential diagnosis and diagnostic pitfalls. Neurology (Minn) 12:745–753 Bruyn GW, Staathof LJA, Raymakers GMJ (1962) Mollaret’s meningitis: differential diagnosis and diagnostic pitfalls. Neurology (Minn) 12:745–753
14.
go back to reference Hermans PE, Goldstein NP, Wellman WE (1972) Mollaret’s meningitis and differential diagnosis of recurrent meningitis. Report of case, with review of the literature. Am J Med 52:128–140CrossRefPubMed Hermans PE, Goldstein NP, Wellman WE (1972) Mollaret’s meningitis and differential diagnosis of recurrent meningitis. Report of case, with review of the literature. Am J Med 52:128–140CrossRefPubMed
15.
go back to reference Hendler N, Schlaeffer F, Zirkin H, Rabinowitz B, Berginer VM (1991) Mollaret’s meningitis in association with delivery in a Bedouin woman; a case report. Eur J Obstet Gynecol Reprod Biol 39:77–79PubMed Hendler N, Schlaeffer F, Zirkin H, Rabinowitz B, Berginer VM (1991) Mollaret’s meningitis in association with delivery in a Bedouin woman; a case report. Eur J Obstet Gynecol Reprod Biol 39:77–79PubMed
16.
go back to reference Lee CT, Chao CH, Yu KW, Liu CY (1992) Mollaret’s meningitis: case report and literature review. Chung Hua I Hsueh Tsa Chih 49:289–293PubMed Lee CT, Chao CH, Yu KW, Liu CY (1992) Mollaret’s meningitis: case report and literature review. Chung Hua I Hsueh Tsa Chih 49:289–293PubMed
17.
go back to reference Rottach K, Scheglmann K, Pfadenhauer K (1996) Mollaret’s meningitis: a new etiologic feature. Eur Neurol 36:172–173PubMed Rottach K, Scheglmann K, Pfadenhauer K (1996) Mollaret’s meningitis: a new etiologic feature. Eur Neurol 36:172–173PubMed
18.
go back to reference Monteyene P, Sindic CJM, Laterre EC (1996) Recurrent meningitis and encephalitis associated with herpes simplex type 2: demonstration by polymerase chain reaction. Eur Neurol 36:176–177PubMed Monteyene P, Sindic CJM, Laterre EC (1996) Recurrent meningitis and encephalitis associated with herpes simplex type 2: demonstration by polymerase chain reaction. Eur Neurol 36:176–177PubMed
19.
go back to reference Aristegui FJ, Delgado RA, Oleaga ZL, Hermosa CC (1998) Mollaret’s recurrent aseptic meningitis and cerebral epidermoid cyst. Pediatr Neurol 18:156–159CrossRefPubMed Aristegui FJ, Delgado RA, Oleaga ZL, Hermosa CC (1998) Mollaret’s recurrent aseptic meningitis and cerebral epidermoid cyst. Pediatr Neurol 18:156–159CrossRefPubMed
20.
go back to reference Berger JR (1991) Benign aseptic (Mollaret’s) meningitis after genital herpes. Lancet 337:1360–1361CrossRef Berger JR (1991) Benign aseptic (Mollaret’s) meningitis after genital herpes. Lancet 337:1360–1361CrossRef
21.
go back to reference Graman PS (1987) Mollaret’s meningitis associated with acute Epstein-Barr virus mononucleosis. Arch Neurol 44:1204–1205PubMed Graman PS (1987) Mollaret’s meningitis associated with acute Epstein-Barr virus mononucleosis. Arch Neurol 44:1204–1205PubMed
22.
go back to reference Steel JG, Dix RD, Baringer JR (1981) Isolation of herpes simplex type 1 in recurrent (Mollaret’s) meningitis. Trans Am Neurol Assoc 106:37–42PubMed Steel JG, Dix RD, Baringer JR (1981) Isolation of herpes simplex type 1 in recurrent (Mollaret’s) meningitis. Trans Am Neurol Assoc 106:37–42PubMed
23.
go back to reference Bergstrom T, Vahlne A, Alestig K, Jeansson S, Forsgren M, Lycke E (1990) Primary and recurrent herpes simplex virus type 2-induced meningitis. J Infect Dis 162:322–330PubMed Bergstrom T, Vahlne A, Alestig K, Jeansson S, Forsgren M, Lycke E (1990) Primary and recurrent herpes simplex virus type 2-induced meningitis. J Infect Dis 162:322–330PubMed
24.
go back to reference Teot LA, Sexton CW (1996) Mollaret’s meningitis: case report with immunocytochemical and polymerase chain reaction amplification studies. Diagn Cytopathol 15:345–348CrossRefPubMed Teot LA, Sexton CW (1996) Mollaret’s meningitis: case report with immunocytochemical and polymerase chain reaction amplification studies. Diagn Cytopathol 15:345–348CrossRefPubMed
25.
26.
go back to reference Mora JS, Gimeno A (1980) Mollaret meningitis: report of a case with recovery after colchicine. Ann Neurol 8:631–633PubMed Mora JS, Gimeno A (1980) Mollaret meningitis: report of a case with recovery after colchicine. Ann Neurol 8:631–633PubMed
27.
go back to reference Stamm AM, Livingston WK, Cobbs CG, Dismukes WE (1984) Failure of colchicine in the treatment of Mollaret’s meningitis. Arch Intern Med 144:2265–2266CrossRefPubMed Stamm AM, Livingston WK, Cobbs CG, Dismukes WE (1984) Failure of colchicine in the treatment of Mollaret’s meningitis. Arch Intern Med 144:2265–2266CrossRefPubMed
28.
go back to reference Lycke J, Malmeström C, Stähle L (2003) Acyclovir levels in serum and cerebrospinal fluid after oral administration of valacyclovir. Antimicrob Agents Chemother 47:2438–2441CrossRefPubMed Lycke J, Malmeström C, Stähle L (2003) Acyclovir levels in serum and cerebrospinal fluid after oral administration of valacyclovir. Antimicrob Agents Chemother 47:2438–2441CrossRefPubMed
Metadata
Title
Mollaret’s meningitis caused by herpes simplex virus type 2: case report and literature review
Authors
J. S. Dylewski
S. Bekhor
Publication date
01-07-2004
Publisher
Springer-Verlag
Published in
European Journal of Clinical Microbiology & Infectious Diseases / Issue 7/2004
Print ISSN: 0934-9723
Electronic ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-004-1164-y

Other articles of this Issue 7/2004

European Journal of Clinical Microbiology & Infectious Diseases 7/2004 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.