Encephalitis

Question 1

main organism causing encephalitis in children and adults

Answer 1

mainly HSV1 parenchyma infection

Question 2

other organisms that cause encephalitis

Answer 2

TB
lyme disease
measles
toxoplasmosis
CMV

Question 3

mc organism that causes encephalitis in neonates

Answer 3

herpes simplex type 2 (HSV-2) from genital herpes, contracted during birth

Question 4

sx of encephalitis

Answer 4

Altered consciousness
Altered cognition
Unusual behaviour
Acute onset of focal neurological symptoms - mainly temporal
Acute onset of focal seizures
Fever

Question 5

investigations for encephalitis

Answer 5

CT head
LP
ECG

Question 6

what will CT show in encephalitis

Answer 6

temporal petechial hemhorrage

Question 7

what to do if encephalitis caused by toxoplasmosis

Answer 7

diffuse intracranial classifications

Question 8

what will LP show in encephlaitis

Answer 8

viral CSF picture

Question 9

what does ECG show in encephalitis

Answer 9

periodic 2H firing

Question 10

tx of HSV encephlaitis

Answer 10

IV aciclovir

Question 11

tx of CMV encephalitis

Answer 11

IV Ganciclovir

Question 12

what to do before u stop antivirals in encephalitis

Answer 12

repeat LP

Question 13

what med is started empirically when encephalitis is suspected

Answer 13

ACIVLOVIR

Question 14

Contra indications to lumbar puncture

Answer 14

GCS below 9, haemodynamically unstable, active seizures or post-ictal.