Encephalitis - Revision history

Rossdonaldson1: /* Evaluation */

2020-11-14T13:25:15Z

Evaluation

← Older revision		Revision as of 13:25, 14 November 2020
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	==Evaluation==		==Evaluation==
			[[File:Hsv encephalitis.jpg\|thumb\|Brain MRI showing high signal in the temporal lobes and right inferior frontal gyrus secondary to HSV encephalitis.]]
	*Imaging identifies abnormalities in medial temporal and inferior frontal gray matter in HSV<ref>Howes DS et al. Encephalitis Workup. Oct 12, 2015. http://emedicine.medscape.com/article/791896-workup#showall</ref>		*Imaging identifies abnormalities in medial temporal and inferior frontal gray matter in HSV<ref>Howes DS et al. Encephalitis Workup. Oct 12, 2015. http://emedicine.medscape.com/article/791896-workup#showall</ref>
	**[[head CT\|CT Head]] - edema and petechial hemorrhage		**[[head CT\|CT Head]] - edema and petechial hemorrhage

ClaireLewis: /* References */

2019-10-02T00:28:51Z

References

← Older revision		Revision as of 00:28, 2 October 2019
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	[[Category:Neurology]]		[[Category:Neurology]]
			[[Category:ID]]

ClaireLewis at 00:28, 2 October 2019

2019-10-02T00:28:34Z

← Older revision		Revision as of 00:28, 2 October 2019
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	*New psychiatric symptoms (HSV)<ref>Loring KE, Tintinalli JE: Central Nervous System and Spinal Infections, in Tintinalli JE, Kelen GD, Stapczynski JS (eds): Emergency Medicine, A Comprehensive Study Guide, ed 7. New York, McGraw-Hill, 2011, (Ch) 168:p 1175-1176.</ref>		*New psychiatric symptoms (HSV)<ref>Loring KE, Tintinalli JE: Central Nervous System and Spinal Infections, in Tintinalli JE, Kelen GD, Stapczynski JS (eds): Emergency Medicine, A Comprehensive Study Guide, ed 7. New York, McGraw-Hill, 2011, (Ch) 168:p 1175-1176.</ref>
	*Cognitive deficits		*Cognitive deficits
	**Aphasia, amnesia, confusion		**Aphasia, amnesia, [[confusion]]
	*[[Seizure]]		*[[Seizure]]
	*Movement disorder (arboviruses)		*Movement disorder (arboviruses)
	*[[Fever]] and meningeal signs are almost always present		*[[Fever]] and meningeal signs are almost always present
	*[[Dysuria]] and pyuria (St. Louis encephalitis)		*[[Dysuria]] and pyuria (St. Louis encephalitis)
	*Extreme lethargy (West Nile encephalitis)		*Extreme [[lethargy]] (West Nile encephalitis)

	==Differential Diagnosis==		==Differential Diagnosis==
	*[[SAH]]		*[[SAH]]
	*[[Lyme disease]]		*[[Lyme disease]]
	*Brain abscess		*[[Brain abscess]]
	*Bacterial [[endocarditis]]		*Bacterial [[endocarditis]]
	*Toxic / metabolic encephalopathy		*Toxic / metabolic encephalopathy
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	==Evaluation==		==Evaluation==
	*Imaging identifies abnormalities in medial temporal and inferior frontal gray matter in HSV<ref>Howes DS et al. Encephalitis Workup. Oct 12, 2015. http://emedicine.medscape.com/article/791896-workup#showall</ref>		*Imaging identifies abnormalities in medial temporal and inferior frontal gray matter in HSV<ref>Howes DS et al. Encephalitis Workup. Oct 12, 2015. http://emedicine.medscape.com/article/791896-workup#showall</ref>
	**CT Head - edema and petechial hemorrhage		**[[head CT\|CT Head]] - edema and petechial hemorrhage
	**MRI - increased T2 intensity		**[[brain MRI\|MRI]] - increased T2 intensity
	*[[LP]]		*[[LP]]
	**Bloody tap consistent with HSV		**Bloody tap consistent with HSV

Adamhaag at 18:49, 19 August 2017

2017-08-19T18:49:37Z

← Older revision		Revision as of 18:49, 19 August 2017
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	*[[CMV]]		*[[CMV]]
	*[[Rabies]]		*[[Rabies]]
	*Arboviruses ([[West Nile]], St. Louis equine) account for 50% of cases		*Arboviruses ([[West Nile]], St. Louis equine) account for 50% of cases<ref>Somand D, Meurer W. Central Nervous System Infections. EMCNA 2009; 27: 89-100.</ref>

	==Clinical Features==		==Clinical Features==

Adamhaag: /* Microbiology */

2017-08-19T18:49:06Z

Microbiology

← Older revision		Revision as of 18:49, 19 August 2017
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	*[[CMV]]		*[[CMV]]
	*[[Rabies]]		*[[Rabies]]
	*Arboviruses ([[West Nile]], St. Louis equine)		*Arboviruses ([[West Nile]], St. Louis equine) account for 50% of cases

	==Clinical Features==		==Clinical Features==

ClaireLewis: /* Differential Diagnosis */

2016-12-11T04:38:11Z

Differential Diagnosis

← Older revision		Revision as of 04:38, 11 December 2016
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	==Differential Diagnosis==		==Differential Diagnosis==
	*[[Meningitis]]
	*[[SAH]]		*[[SAH]]
	*[[Lyme disease]]		*[[Lyme disease]]

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-21T16:05:23Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 16:05, 21 July 2016
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	{{AMS and fever DDX}}		{{AMS and fever DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Imaging identifies abnormalities in medial temporal and inferior frontal gray matter in HSV<ref>Howes DS et al. Encephalitis Workup. Oct 12, 2015. http://emedicine.medscape.com/article/791896-workup#showall</ref>		*Imaging identifies abnormalities in medial temporal and inferior frontal gray matter in HSV<ref>Howes DS et al. Encephalitis Workup. Oct 12, 2015. http://emedicine.medscape.com/article/791896-workup#showall</ref>
	**CT Head - edema and petechial hemorrhage		**CT Head - edema and petechial hemorrhage

ClaireLewis: /* Diagnosis */

2016-07-13T23:41:24Z

Diagnosis

← Older revision		Revision as of 23:41, 13 July 2016
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	**MRI - increased T2 intensity		**MRI - increased T2 intensity
	*[[LP]]		*[[LP]]
	**Bloody tap ~~c/w~~ HSV		**Bloody tap consistent with HSV

	==Management==		==Management==

ClaireLewis: /* Clinical Features */

2016-07-13T23:40:50Z

Clinical Features

← Older revision		Revision as of 23:40, 13 July 2016
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	*Movement disorder (arboviruses)		*Movement disorder (arboviruses)
	*[[Fever]] and meningeal signs are almost always present		*[[Fever]] and meningeal signs are almost always present
	*Dysuria and pyuria (St. Louis encephalitis)		*[[Dysuria]] and pyuria (St. Louis encephalitis)
	*Extreme lethargy (West Nile encephalitis)		*Extreme lethargy (West Nile encephalitis)

Ostermayer: Text replacement - "Category:Neuro" to "Category:Neurology"

2016-03-22T14:14:25Z

Text replacement - "Category:Neuro" to "Category:Neurology"

← Older revision		Revision as of 14:14, 22 March 2016
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	<references/>		<references/>

	[[Category:~~Neuro~~]]		[[Category:Neurology]]