Recurrent herpes simplex virus type 2 meningitis in elderly persons.
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To review the ages of patients with recurrent herpes simplex virus type 2 (HSV-2) meningitis.Case report and literature review back to 1970.Referral Veterans Affairs hospital.Our patient developed his first episode of recurrent HSV-2 meningitis at 78 years of age, 57 years after his only episode of genital herpes simplex infection. Of 223 patients in the literature with recurrent HSV-2 meningitis, 5% occurred in patients older than 60 years and 19% in patients older than 50 years.Although recurrent meningitis due to HSV is primarily seen in young, sexually active adults, a surprising number of episodes of HSV meningitis can develop in older age. Meningitis due to HSV-2 should be in the differential diagnosis of aseptic meningitis in older patients.