Suspicious Encephalitis: Herpes Simplex vs. Other Diagnosis

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HAJIABDOLBAGHI MAHBOUBEH; SEIFI ARASH; Mazaherpour Hossein; DEHGHAN MANSHADI SEYED ALI; SALEHI MOHAMMADREZA; Mazaherpour Sakineh

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Journal: Archives of Neuroscience Year:2020 | Volume:7 | Issue:2 Page(s): 0-0

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Title

Suspicious Encephalitis: Herpes Simplex vs. Other Diagnosis

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Keywords

Encephalitis

Herpes Simplex Encephalitis

Acyclovir

Polymerase Chain Reaction

Abstract

Background: Herpes simplex Encephalitis (HSE) is the most common cause of Encephalitis worldwide and is a potentially fatal infection of the central nervous system. Therefore, early and accurate treatment of this disease is vital. Clinical manifestations and paraclinical findings can help physicians in precious diagnosis and treatment. Objectives: The present study aimed to assess the clinical/paraclinical findings and outcomes of patients suspected to HSE. Methods: In a descriptive-analytical study, 70 patients suspected to HSE were prospectively enrolled and divided into three groups: confirmed HSE, other-diagnosis, and without-diagnosis groups. The clinical/paraclinical findings and outcomes of the three groups were gathered using demographic and HSE checklists. The data were analyzed using the Kruskal-Wallis and ANOVA tests. Results: There was a significant difference in the mean age (P = 0. 016), sex (P = 0. 027), and seizure (P = 0. 001) between the three groups so that the HSE group patients were younger, mostly female, with seizure observed in more than half of these patients. The treatment period was significantly longer in the HSE group (P < 0. 001). The mean of ESR was lower in the HSE group (P = 0. 034), and CRP was higher in the other-diagnosis group (P = 0. 0231); they were significantly different lab tests between the three groups. The diagnostic results of HSEin magnetic resonance imaging (MRI)showeda significant difference between the three groups (P< 0. 001). Neurological sequels were significantly higher in the HSE group (P = 0. 029). Differences in other findings were not statistically significant. Conclusions: Seizure as a clinical finding and brain MRI as a paraclinical investigation is helpful for the differentiation of HSE from other similar diseases. The early use of Acyclovir for suspected patients plays a pivotal role in the improvement of the clinical prognosis of HSE. We suggest that physicians prescribe Acyclovir as soon as HSE is clinically suspected.

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APA: Copy

HAJIABDOLBAGHI, MAHBOUBEH, SEIFI, ARASH, Mazaherpour, Hossein, DEHGHAN MANSHADI, SEYED ALI, SALEHI, MOHAMMADREZA, & Mazaherpour, Sakineh. (2020). Suspicious Encephalitis: Herpes Simplex vs. Other Diagnosis. ARCHIVES OF NEUROSCIENCE, 7(2), 0-0. SID. https://sid.ir/paper/772572/en

Vancouver: Copy

HAJIABDOLBAGHI MAHBOUBEH, SEIFI ARASH, Mazaherpour Hossein, DEHGHAN MANSHADI SEYED ALI, SALEHI MOHAMMADREZA, Mazaherpour Sakineh. Suspicious Encephalitis: Herpes Simplex vs. Other Diagnosis. ARCHIVES OF NEUROSCIENCE[Internet]. 2020;7(2):0-0. Available from: https://sid.ir/paper/772572/en

IEEE: Copy

MAHBOUBEH HAJIABDOLBAGHI, ARASH SEIFI, Hossein Mazaherpour, SEYED ALI DEHGHAN MANSHADI, MOHAMMADREZA SALEHI, and Sakineh Mazaherpour, “Suspicious Encephalitis: Herpes Simplex vs. Other Diagnosis,” ARCHIVES OF NEUROSCIENCE, vol. 7, no. 2, pp. 0–0, 2020, [Online]. Available: https://sid.ir/paper/772572/en

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