SHM Converge Scientific Abstract ePoster Gallery-To Treat or Not to Treat? A Rare Case of Mollaret's Meningitis

Pdf Summary

The document is a medical poster template with printing and design guidance, followed by a case report summary about Mollaret’s meningitis.<br /><br />Key template instructions explain that the poster is 36" high by 48" wide and can be used for a tri-fold poster with 12" wings. It advises users to edit, move, add, or delete placeholder elements as needed and to confirm format requirements with the conference organizer. For image quality, it recommends placing photos or logos via insert/copy-paste and using graphics at 150–200 pixels per inch at final print size. It notes that website images are usually only 72 dpi and unsuitable for printing. Previewing at 100% is suggested for checking print quality, or 200% if using half-scale layout.<br /><br />The case report describes a 53-year-old female elementary school teacher with a history of genital herpes and prior aseptic viral meningitis who presented with two days of severe headache, neck stiffness, fever, nausea, vomiting, bilateral leg weakness, and back pain. Her headache was sudden, diffuse, and severe, with photophobia, chills, and myalgias. She reported similar symptoms in 2017 and no recent herpes outbreak. On exam, she was febrile, while blood counts and metabolic panel were unremarkable.<br /><br />Lumbar puncture showed xanthochromic CSF with elevated protein and WBCs, normal glucose, and a lymphocytic predominance. Gram stain showed many WBCs but no organisms, and cultures were negative. Serologic testing was positive for HSV-2 and negative for other infectious causes. Brain MRI was normal. She was initially treated empirically for meningitis with broad-spectrum antibiotics, which were stopped after CSF results. She then received IV acyclovir, improved within 48 hours, and was discharged on a 14-day course of valacyclovir.<br /><br />The discussion notes that Mollaret’s meningitis is a recurrent benign aseptic lymphocytic meningitis first described in 1944. HSV-2 is the most common cause, though HSV-1, EBV, and noninfectious causes can also be involved. Diagnosis depends on imaging and laboratory evaluation to identify the underlying cause.

Asset Subtitle

Aayushi Kacheria

Meta Tag

Author List Aayushi Kacheria, Mohammad Jamil, Ramanpreet Johal, Shreyesi Srivastava

Category Clinical Vignettes

Concept Mollarets Meningitis

Concept Recurrent Aseptic Meningitis

Concept Herpes Simplex Virus 2

Concept Scientific Poster

Concept Resolution

Distinguished Non-Finalist

Presenter Organization Abrazo Health Network Internal Medicine Residency Program

Presenting Author Aayushi Kacheria

Track Adult

Keywords

Mollaret’s meningitis

HSV-2

aseptic meningitis

lumbar puncture

xanthochromic CSF

lymphocytic pleocytosis

valacyclovir

acyclovir

medical poster template

case report

Mollarets Meningitis

Recurrent Aseptic Meningitis

Herpes Simplex Virus 2

Scientific Poster

Resolution