Viral meningitis: clinical features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Viral meningitis: clinical features. Enteroviruses: these account for 80% of adult cases. Fully referenced neurology checklist.
Frequent causes
- Enteroviruses: these account for 80% of adult cases
- Herpes simplex virus type 1 (HSV1)
- Herpes simplex virus type 2 (HSV2)
- Varicella zoster virus (VZV)
Other causes
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Systemic features
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Neurological features
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Virus-specific features
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Complications of HSV2 meningitis
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References
- Logan SAE, MacMahon E. Viral meningitis. BMJ 2008; 336:36-40.
- Chadwick DR. Viral meningitis. Br Med Bull 2006; 75 and 76:1-14.
- Kupila L, Vuorinen T, Vainionpää R, Hukkanen V, Marttila RJ, Kotilainen P. Etiology of aseptic meningitis and encephalitis in an adult population. Neurology 2006; 66:75-80.
- Ihekwaba UK, Kudesia G, McKendrick MW. Clinical features of viral meningitis in adults: significant differences in cerebrospinal fluid findings among herpes simplex virus, varicella zoster virus, and enterovirus infections. Clin Infect Dis 2008; 47:783–789.
- Bodilsen J, Mens H, Midgley S, et al. Enterovirus meningitis in adults: a prospective nationwide population-based cohort study. Neurology 2021; 97:e454-e463.
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