HSV-1 and HSV-2 in herpes simplex encephalitis: a study of sixty-four cases in the United Kingdom

J Med Virol. 1997 Sep;53(1):1-3. doi: 10.1002/(sici)1096-9071(199709)53:1<1::aid-jmv1>3.0.co;2-4.

Abstract

The incidence of herpes simplex virus type 1 (HSV-1) and herpes simplex virus type 2 (HSV-2) in herpes simplex encephalitis (HSE) was investigated using cerebrospinal fluid (CSF) samples from sixty-four cases of HSE. A polymerase chain reaction (PCR) employing primers flanking a region of the HSV thymidine kinase gene common to both HSV-1 and HSV-2 was used to detect HSV in the CSF. HSV-1 and HSV-2 were differentiated by digestion with restriction enzymes. Two enzymes were employed; Aval which cleaved only the HSV-2 gene product and Avall which cleaved only the HSV-1 gene product. Sixty-three cases of HSE were found to be due to HSV-1; one case due to HSV-2. These data confirm previous observations that HSV-2 is a rare cause of post-neonatal herpes encephalitis but indicates that a PCR procedure capable of detection of both viruses is essential for efficient diagnosis of HSE.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • DNA, Viral / cerebrospinal fluid
  • DNA, Viral / genetics
  • Deoxyribonucleases, Type II Site-Specific
  • Encephalitis, Viral / diagnosis
  • Encephalitis, Viral / epidemiology
  • Encephalitis, Viral / virology*
  • Female
  • Herpes Simplex / diagnosis
  • Herpes Simplex / epidemiology
  • Herpes Simplex / virology*
  • Herpesvirus 1, Human / genetics
  • Herpesvirus 1, Human / isolation & purification*
  • Herpesvirus 1, Human / pathogenicity
  • Herpesvirus 2, Human / genetics
  • Herpesvirus 2, Human / isolation & purification*
  • Herpesvirus 2, Human / pathogenicity
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Polymerase Chain Reaction
  • United Kingdom / epidemiology

Substances

  • DNA, Viral
  • CYCGRG-specific type II deoxyribonucleases
  • Deoxyribonucleases, Type II Site-Specific
  • GGWCC-specific type II deoxyribonucleases