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Stroke or encephalitis?

Authors
  • Townend, Bradley S
  • Hanson, Julian A
  • Sturm, Jonathan W
  • Whyte, Scott
Type
Published Article
Journal
Emergency medicine Australasia : EMA
Publication Date
Aug 01, 2005
Volume
17
Issue
4
Pages
401–404
Identifiers
PMID: 16091106
Source
Medline
License
Unknown

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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