05 August 2021
: Case report 
Encephalitis Due to Co-Infection with Cytomegalovirus and Herpes Simplex Virus Type 2 in a Patient with Acquired Immunodeficiency Syndrome
Unusual clinical course, Challenging differential diagnosis
Maleeha Zahid1ABCDEF*, Kishore Kumar
1ABCDEF, Harish Patel1ABCDEF
DOI: 10.12659/AJCR.931821
Am J Case Rep 2021; 22:e931821
Table 1. Cerebrospinal fluid analysis.
| Cerebrospinal fluid (CSF) examination | Lumbar puncture 1 | Lumbar puncture 2 |
|---|---|---|
| Appearance | Clear | Clear |
| Red blood cell count | 0 | 55 |
| White blood cell count | 0 | 1 |
| Protein (mg/dl) | 113 | 95 |
| Glucose (mg/dl) | 42 | 44 |
| Bacterial antigen | Negative | Negative |
| Cytomegalovirus copies/ml | 1052918 | 22140 |
| Herpes simplex virus type 2 DNA | Detected | Not detected |
| Herpes simplex virus type 1 DNA | Not detected | Not detected |
| John Cunningham virus (JC Virus) | Negative | Negative |
| Cryptococcal antigen | Not detected | Not detected |
| Venereal disease research laboratory test, (VDRL) CSF | Non reactive | Non reactive |
| Bacterial culture | No growth | No growth |