When the brain slows the heart-herpes encephalitis and sinus arrest: a case report.

ABSTRACT:

Background

Herpes simplex virus (HSV) encephalitis is a known cause of cognitive deterioration, neurological disturbances, and seizures though are rarely associated with sinus node dysfunction.

Case summary

We present a 54-year-old man admitted to the hospital with a 10-day history of fever, confusion, and fatigue, 1 week following a transient loss of consciousness. An initial workup suggested HSV encephalitis and the patient was started on intravenous Acyclovir. Due to his episode of syncope, a 24 h Holter electrocardiogram monitoring was performed. The Holter documented multiple episodes of sinus arrest, with a second episode of syncope noticed by the hospital staff concurrent with the last documented sinus arrest. Following antiviral treatment and resolution of the enceph

SUBMITTER: Braiman D 

PROVIDER: S-EPMC8343447 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature