Case Report

Coinfection with Rickettsia helvetica and Herpes Simplex Virus 2 in a Young Woman with Meningoencephalitis

Table 1

Summary of the disease history and laboratory findings. R.h.: R. helvetica; doxy: doxycycline.

Characteristics

Sex, age in yrsF, 23
MonthJuly
Fever, temp °C38.5
HeadacheYes
Stiff neckYes
PhotophobiaYes
Treatmentdoxy
OutcomeCured

Lab results
C-reactive prot, mg/L11
WBC count, g/L7.2

CSF results
CSF cells (×106/L) total868
Mono820
Proteins (mg/L)2209
CSF/blood glucose ratio0.46

Serology
 Acut phase/s
 Ric-MIF IgG<32
 Ric-MIF IgM2048
 CSF Ric-MIF IgG<32
 Ric-MIF IgM<1/16
Convalescent phase/s
 Ric-MIF IgG64
 Ric-MIF IgM1024
 Borrelia (IU/mL) serumNeg
 (Index) CSFNeg

Isolation R.h