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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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