Concluded Case

28 yr ,M, Fever ,confusion,rt focal fit rt sided weakness of 2 days.MRI gyral edema left tempo

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Concluded answer
Herpes simplex encephalopathy.90% caused by HS type 1. The main clue to herpes virus other causes of viral encephalitis is focality , especially to temporal lobe
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There is a limit for space and hence ,not included everything. Cont MRI gyral edema left temporal CSF 400RBCs,30 WBCs lymphocytes ,sugar 70 mg/ dl,protein 60mg / dl.What is the most causative agent?
Herpes simplex encephalopathy.90% caused by HS type 1. The main clue to herpes virus other causes of viral encephalitis is focality , especially to temporal lobe
Temporal lobe gyri edema seen in herpes simplex encephalitis . HSV PCR in CSF can help in diagnosis.
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HSV 1
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