Viral Encephalitis Mimicking Acute Psychosis
Journal Title: People's Journal of Scientific Research. - Year 2016, Vol 9, Issue 1
Abstract
Herpes simplex virus type 1 (HSV) is known to cause encephalitis in humans which can be fatal in case of delay in diagnosis or initiation of treatment. It usually presents with fever, headache, seizures and alterations in mental status. It may also mimic behavioural or psychiatric disorders which seriously affect the early diagnosis of the disease. The mortality is almost 70% in the absence of treatment. A middle aged female presented with an acute history of fever, headache and vomiting followed by behavioural abnormalities, memory gaps and seizures. Antiviral therapy was started on suspicion of HSV encephalitis. Characteristic findings on MRI brain and positive CSF PCR for HSV DNA confirmed the diagnosis. The patient received three weeks of antiviral therapy following which she was discharged in an improved condition. This implies the advantages of early diagnosis and rapid initiation of therapy in survival of patients with this potentially fatal illness.
Authors and Affiliations
Anand Jat, , Saumya Shrivastava, , Rahul Jain, , Krishna Jain
Keywords
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