Abstract
Acute viral encephalitis (AVE) is suspected in patients suffering from a febrile disease with headache and altered sensorium. Herpes simplex virus (HSV) is one of the major etiological agents for AVE. Here, we present an atypical case of HSV encephalitis with intracerebral bleed in a 23-year-old male. The patient presented with fever, headache, seizure episodes and altered sensorium. Computed tomography scan of head suggested cerebral edema. Cerebrospinal fluid (CSF) routine microscopy showed increased cell count with lymphocytic pleocytosis, increased protein and normal sugar levels. CSF polymerase chain reaction was suggestive of HSV encephalitis. The patient showed improvement with intravenous acyclovir and cerebral decongestants, but after 15 days, he complained of headache. Repeat imaging showed bleed at the site of lesion. Diagnosis of AVE with intracerebral bleed was made. J Neurol Res. 2015;5(4-5):261-263 doi: http://dx.doi.org/10.14740/jnr349w
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
