Abstract
Sri Lanka Journal of Medicine is the official journal of the Kandy Society of Medicine. It is a peer-reviewed journal currently published biannually. Original articles, reviews, brief reports, case reports, points of view, and letters to the editor, in all fields of medical science and practice are accepted for publication.The Sri Lanka Journal of Medicine is now indexed in DOAJ
Highlights
Autoimmune encephalitis (AE) manifests with various neurologic and psychiatric symptoms
Symptoms can progress to loss of consciousness or even coma 1. This is a case of AE of a patient who presented with psychotic symptoms where the diagnosis and management were challenging
Diagnosis of autoimmune encephalitis can be challenging, especially when it only presents with psychiatric symptoms., Different treatment
Summary
Autoimmune encephalitis (AE) refers to a group of conditions that occur when the immune system of the body mistakenly attacks healthy brain cells, leading to inflammation of the brain. Level was 53.2 mg/L, and her erythrocyte sedimentation rate (ESR) was 30 mm in the 1st hour She was treated with acyclovir with the suspicion of encephalitis to cover the herpes viruses. Her ESR was continuously rising to 90 mm in the first hour within few days, her CRP level came down to 11.91 mg/L. All the other haematological parameters were normal With this management for one week, the patient showed no improvement. After that the psychiatry team referred the patient back for further evaluation for an organic pathology while she was on antipsychotics with dose adjustments At this point in the course of her illness she was in the hospital for almost 5 weeks, but the symptomatic improvement was minimal.
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