带状疱疹常见于免疫抑制状态的患者,且可引起播散。神经系统并发症虽较常见,但脑病却罕见。先前文献中尚无抗病毒剂治疗带状疱疹并发脑炎(HZAE)的对照研究;阿糖腺苷的疗效也不肯定。作者报告一例经无环鸟苷治疗迅速获效。患者女性,30岁,因胸痛伴嗜睡和精神错乱48小时入院。无头痛、呕吐或癫痫发作史。因慢性肾小球肾炎于1年前接受肾移植,尽管每日口服(?)唑嘌呤100mg,每日肌注甲基强的松龙100mg,仍然发生慢性排异反应,3个月前平均肌酐值达356mmol/1住院期间有发热和典型的带状分布的皮疹,无假性脑脊髓膜炎或神经 Shingles are common in immunosuppressed patients and can cause dissemination. Although the nervous system complications are more common, but encephalopathy is rare. Previous literature no antiviral treatment of shingles with concurrent encephalitis (HZAE) control study; the efficacy of vidarabine is also not sure. The authors report a case of acyclovir treatment quickly. Patient Female, 30 years old, admitted to hospital for chest pain with lethargy and delirious 48 hours. No history of headache, vomiting or seizures. Chronic glomerulonephritis received a kidney transplant 1 year ago despite a chronic oral induction of methylprednisolone daily (100 mg daily oral azathioprine 100 mg, methylprednisolone 100 mg), and mean creatinine 3 months earlier Value of 356mmol / 1 During hospitalization with fever and a typical banded distribution of rash, no pseudomeningitis or nerve