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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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CAT scan,abnormal cerebrovascular accident cerebrovascular accident,differential diagnosis of cerebrovascular accident,mimics cerebrovascular accident,misdiagnosis cerebrovascular accident,nonvascular territory confusion delay in diagnosis delirium disorientation encephalitis encephalitis,viral fever herpes simplex encephalitis herpes simplex encephalitis,diagnosis of herpes simplex encephalitis,differential diagnosis of mimics misdiagnosis MRI MRI,abnormal MRI,gyral enhancement MRI,indications for neurologic disease,diagnoses of pleocytosis of cerebrospinal fluid polymerase chain reaction temporal lobe temporal lobe,lesion viral infection viral infection,CNS
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