Evidence map›Paper›PMID 40777686›Full record

ArticleCureus2025

A Rare Case of Human Herpesvirus 6 Meningitis in an Immunocompetent Adult Presenting With Recurrent Encephalopathy: Could Prior Head Trauma or an Incidental Cerebral Cavernous Malformation Be a Predisposing Factor?

Zhuo Luan

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Zhuo LuanNeurology, Texas Tech University Health Sciences Center El Paso, EL Paso, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human herpesvirus 6 (HHV-6) meningitis/encephalitis is typically seen in immunocompromised patients, with rare reports in immunocompetent adults. We present the case of a 52-year-old immunocompetent man with recurrent acute encephalopathy and incidental cerebral cavernous malformation (CCM), alongside a remote history of traumatic brain injury (TBI). Cerebrospinal fluid (CSF) analysis and multiplex polymerase chain reaction (PCR) test confirmed HHV-6 infection, with neuroimaging showing leptomeningeal enhancement. This case suggests that structural brain abnormalities such as CCM and prior TBI may cause chronic blood-brain barrier (BBB) disruption, facilitating HHV-6 neuroinvasion even in the absence of immunosuppression. Awareness of such predisposing factors is crucial for the timely diagnosis and treatment of HHV-6 meningitis/encephalitis in immunocompetent individuals. Further research is needed to clarify the pathophysiological link between BBB dysfunction and HHV-6 central nervous system (CNS) infection.

Indexed as

cerebral cavernous malformationhuman herpesvirus-6 (hhv-6)immunocompetent adulttraumaviral meningitis

Identifiers

PMID40777686
PMCPMC12330298

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.