What is the most common cause of encephalitis?
HSV 1
What are the causes of encephalitis?
Viral BActerial Fungal Autoimmune Limbic encephalitis
What are the viral causes of encephalitis?
HSV1= most common HSV2= most common in neonates VZV CMV Measles, mumps and rubella= ask about vaccines
What is the presentation of encephalitis?
Fever
Headache
Confusion
Seizures
What is the presentation of encephalitis in babies/children?
Fever
Irritability
Poor appetite
Unusual behaviour, drowsy
What investigations are done for encephalitis?
LP
MRI
PCR for HSV
HIV test
What is the management of encephalitis?
IV aciclovir
repeat LP before stopping antivirals
What is the management of CMV encephalitis?
IV ganciclovir
What are the complications of encephalitis?
Learning disabilities
Headaches
Seizures