Infection- Encephalitis Flashcards
1
Q
what is it?
A
infection of brain parenchyma
2
Q
Aetiology?
A
- Mainly viral
- HSV
- CMV, EBV, VZV
3
Q
Presentation?
A
- viral prodromal symptoms - fever, rash etc
-
altered mental state
- personality change, confusion, reduced consciousness
- seizures
- headache
- focal neurological symptoms
4
Q
Ix?
A
- Bloods
- cultures
- viral PCR
- FBC, U&E
- LP
- HSV PCR
- cell count, protein, glucose, opening pressure
- EEG
- MRI
5
Q
results of LP
A
- markedly raised opening pressure
- rest as viral meningitis
6
Q
Mx
A
- Aciclovir
- plus supportive care
7
Q
Prognosis
A
- fatal if untreated, causes death in 7-10days
- neurological sequelae
