Acute recurrent lymphocytic meningitis in an immunocompetent HIV-positive African woman: Is it a Mollaret’s meningitis or not?
- Katie Tharshana Yoganathan
- Soumeya Cherif
- Mariam Rashid
- Kathir Yoganathan
DOIAbstract
We report a case of acute recurrent meningitis in an HIV-positive immunocompetent woman. In this case, a 34-year-old African woman with a known HIV infection presented with symptoms of acute meningitis. She was on combination antiretroviral therapy with abacavir, lamivudine, and nevirapine. Her HIV RNA level was <70 IU/mL, and CD4 counts were 640 cells/mm 3 . This indicates that she was not immunocompromised. She was febrile on examination, with marked neck stiffness. Her cerebrospinal fluid revealed raised white cell counts with 100% lymphocytes and mildly raised protein. Polymerase chain reaction confirmed herpes simplex type 2 meningitis. She recovered fully with aciclovir 800 mg three times a day. However, she was readmitted with a simi...
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