Recurrent Meningitis.

Abstract

PURPOSE OF REVIEW:

Recurrent meningitis is a rare clinical scenario that can be self-limiting or life threatening depending on the underlying etiology. This review describes the causes, risk factors, treatment, and prognosis for recurrent meningitis. As a general overview of a broad topic, the aim of this review is to provide clinicians with a comprehensive differential diagnosis to aide in the evaluation and management of a patient with recurrent meningitis.

RECENT FINDINGS:

New developments related to understanding the pathophysiology of recurrent meningitis are as scarce as studies evaluating the treatment and prevention of this rare disorder. A trial evaluating oral valacyclovir suppression after HSV-2 meningitis did not demonstrate a benefit in preventing recurrences. The data on prophylactic antibiotics after basilar skull fractures do not support their use. Intrathecal trastuzumab has shown promise in treating leptomeningeal carcinomatosis from HER-2 positive breast cancer. Monoclonal antibodies used to treat cancer and autoimmune diseases are new potential causes of drug-induced aseptic meningitis. Despite their potential for causing recurrent meningitis, the clinical entities reviewed herein are not frequently discussed together given that they are a heterogeneous collection of unrelated, rare diseases. Epidemiologic data on recurrent meningitis are lacking. The syndrome of recurrent benign lymphocytic meningitis described by Mollaret in 1944 was later found to be closely related to HSV-2 reactivation, but HSV-2 is by no means the only etiology of recurrent aseptic meningitis. While the mainstay of treatment for recurrent meningitis is supportive care, it is paramount to ensure that reversible and treatable causes have been addressed for further prevention.

• Authors: Jon Rosenberg, Benjamin T Galen
• Journal: Current pain and headache reports (Curr Pain Headache Rep) Vol. 21 Issue 7 Pg. 33 (Jul 2017) ISSN: 1534-3081 [Electronic] United States
• PMID: 28551737 (Publication Type: Journal Article, Review)

Chemical References

• Antibodies, Monoclonal
• Antiviral Agents
• Valine
• Valacyclovir
• Acyclovir

Topics

• Acyclovir (analogs & derivatives, therapeutic use)
• Antibodies, Monoclonal (adverse effects)
• Antiviral Agents (therapeutic use)
• Diagnosis, Differential
• Herpes Simplex (complications)
• Herpesvirus 2, Human
• Humans
• Meningitis (diagnosis, etiology, therapy)
• Meningitis, Aseptic (chemically induced, diagnosis, virology)
• Prognosis
• Recurrence
• Secondary Prevention (methods)
• Valacyclovir
• Valine (analogs & derivatives, therapeutic use)