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单纯疱疹病毒性脑炎管理中的陷阱

Pitfalls in the management of herpes simplex virus encephalitis.

作者信息

Ibitoye Richard Tolulope, Sarkar Pamela, Rajbhandari Satyan

机构信息

Department of Neurology, Royal Preston Hospital, Lancashire, UK.

出版信息

BMJ Case Rep. 2012 Oct 12;2012:bcr2012007081. doi: 10.1136/bcr-2012-007081.

Abstract

We report a case of Herpes Simplex Virus Encephalitis (HSVE) with a fatal outcome of a patient in his 70s presenting to a local teaching hospital with fever and confusion. We highlight pertinent issues regarding diagnosis, investigation and management, and consider ways of improving clinical outcomes. Finally, we discuss the differential diagnoses of acute encephalitis and review the management of HSVE.

摘要

我们报告了一例单纯疱疹病毒性脑炎(HSVE)病例,一名70多岁的患者因发热和意识模糊就诊于当地一家教学医院,最终死亡。我们强调了有关诊断、检查和管理的相关问题,并思考改善临床结局的方法。最后,我们讨论了急性脑炎的鉴别诊断,并回顾了HSVE的治疗。

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