Key Clinical Message
This case underlined the importance of having high suspicion for lobar hemorrhage as a rare but deadly complication of herpes simplex virus encephalitis and shone light upon the added complexity it poses on management on an already deadly disease.
Abstract
Herpes simplex virus (HSV) encephalitis is the most common type of sporadic encephalitis that inflicts high rates of morbidity and mortality. Differentiating a progressing encephalitis syndrome from a lobar hemorrhage as a complication presents a challenge and requires great vigilance and insight on part of the treating physician.
Herpes simplex encephalitis (HSE) is the most common type of sporadic
encephalitis that inflicts high rates of morbidity and mortality.
Differentiating a progressing encephalitis syndrome from a lobar
hemorrhage as a complication presents a challenge and requires great
vigilance and insight on part of the treating physician.
Facial puffiness as a consequence of superior vena cava syndrome (SVCS),
can be a presentation from which the physician would have to conjecture
a diagnosis of a mediastinal mass including lymphomas. Pediatric SVCS
can rapidly progress and pose a greater challenge for airway protection
as was in our case.
Facial puffiness as a consequence of superior vena cava syndrome (SVCS) can be a presentation from which the physician would have to conjecture a diagnosis of a mediastinal mass including lymphomas. Pediatric SVCS can rapidly progress and pose a greater challenge for airway protection as was in our case.
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