Condition Info - BotMed Application

ConditionName

Encephalitis

ConditionDescription

Infection of the brain parenchyma

Symptoms

Malaise;
Headache
Neck pain;
Vomiting; 
AMS (alternated mental status); 

DDx with meningitis: No photophobia, no stiff neck;

Focal neurologic defects:
Hemiparesis;
Pathologic reflexes;
Nerve palsies;
DDx with meningitis: Confusion -> herpes;

PhysicalFindings

Skin lesions in HSV;

ClinicalTests

DDx:
Meningitis (with stiff neck);
Brain abscess (with focal neurological findings);

PCR – most specific test;
Serology for IgM AB – reliable test for specific virus;

Viral CFS:
↑some WBC(lymphocytes);
↑CSF pressure;
Normal glucose;
Normal protein;

Radiology:
CT of the head;
MRI of the head;

RiskFactors

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

Varicella zoster virus;
HSV;
Mumps virus;
Poliovirus;
Rhabdovirus;
Coxsackie;
Echovirus;
Arbovirus;
Flavivirus;
Measles;

TreatmentOptions

Supportive;

PharmOptions

HSV: acyclovir;

WebLink

https://www.merckmanuals.com/professional/neurologic-disorders/brain-infections/encephalitis