Evidence map›Paper›PMID 42464366›Full record

ArticleVirology journal2026

NGS-diagnosed HBV encephalitis with isolated left parietal lobe involvement: a case report.

Zihan Zhou, Zhangning Zhou, Longqi Zhang

Abstract readCase Reports
In one paragraph

Article in Virology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Zihan ZhouDepartment of Geriatric, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou, 313000, Zhejiang, China.
Zhangning ZhouDepartment of Geriatric, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou, 313000, Zhejiang, China.
Longqi ZhangDepartment of Geriatric, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou, 313000, Zhejiang, China. zhanglongqi728@163.com.

Funding

Medical Science and Technology Project of Zhejiang 2023KY309
6 · The paper itself

Abstract

backgroundViral encephalitis refers to the inflammation of the brain parenchyma caused by viral infection, usually manifested as fever, unconsciousness, seizures, and meningeal irritation symptoms. The non-specific clinical manifestations, combined with incomplete medical history, often lead to missed diagnoses and inappropriate treatments. CASE PRESENTATION: We present a case of Hepatitis B virus (HBV) encephalitis, manifesting as isolated left parietal lobe involvement. The patient is a chronic hepatitis B virus carrier who did not receive antiviral therapy. Upon onset, the main symptoms were unconsciousness, fever, and seizures. He was diagnosed with HBV encephalitis thru next-generation sequencing (NGS) testing of the cerebrospinal fluid (CSF). After antiviral treatment with entecavir and general symptomatic treatment, the patient's clinical symptoms disappeared, and a follow-up brain MRI showed that the lesion had almost completely resolved.

conclusionsCentral nervous system (CNS) infections caused by HBV are incredibly uncommon in clinical practice. This case highlights that the clinical manifestations of HBV encephalitis are nonspecific and prone to being missed, while neuroimaging often reveals an isolated lesion. Early application of NGS for accurate pathogen diagnosis is crucial to reduce misdiagnosis.

Indexed as

Encephalitis, ViralHepatitis B, ChronicHepatitis B virusParietal LobeAntiviral AgentsDNA, ViralGuanineHigh-Throughput Nucleotide SequencingHumansMagnetic Resonance ImagingMaleAntiviral AgentsDNA, ViralentecavirGuanineCerebrospinal FluidHepatitis B virusNext-generation SequencingViral Encephalitis

Identifiers

PMID42464366
PMCPMC13539874

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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 OpenQuestion graph.