PubMed · 16091106
Stroke or encephalitis?
Abstract
Viral encephalitis is associated with significant morbidity and mortality, particularly when appropriate management is omitted as a result of delayed diagnosis. A case of herpes simplex virus type 1 (HSV-1) encephalitis is presented, demonstrating that the presentation of confusion, speech difficulties and fever with non-specific early brain CT appearances can easily be misdiagnosed as pneumonia with stroke. This case highlights the need for increased awareness of HSV-1 encephalitis among emergency physicians and radiologists, given that the early spectrum of clinical and CT findings can mimic the more common diagnoses of sepsis and stroke.
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Bradley S Townend, Julian A Hanson, Jonathan W Sturm, Scott Whyte. 2005. Stroke or encephalitis?. https://doi.org/10.1111/j.1742-6723.2005.00765.x
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