An Unusual Psychiatric Emergency: Herpes Simplex Encephalitis

A case of fatal herpes simplex virus (HSV) encephalitis, presenting as a psychiatric emergency, is reported. The possibility of HSV encephalitis presenting mainly or solely with psychiatric symptoms is highlighted. HSV can cause a severe form of encephalitis which may present with mainly psychiatric...

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Main Authors: H. Doyle, J. Varian
Format: Article
Language:English
Published: Wiley 1994-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.3233/BEN-1994-7208
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author H. Doyle
J. Varian
author_facet H. Doyle
J. Varian
author_sort H. Doyle
collection DOAJ
description A case of fatal herpes simplex virus (HSV) encephalitis, presenting as a psychiatric emergency, is reported. The possibility of HSV encephalitis presenting mainly or solely with psychiatric symptoms is highlighted. HSV can cause a severe form of encephalitis which may present with mainly psychiatric symptoms in some cases. Early treatment with anti-viral agents can reduce mortality and morbidity, but accurate early diagnosis may be very difficult. HSV encephalopathy may mimic psychiatric illness and has been likened to syphilis as the great imitator. The case presented here should serve to raise awareness of the psychiatric features and the need to consider this diagnosis in patients with atypical behavioural disturbance.
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spelling doaj-art-646300a116b346a1953692b58e80d32e2025-02-03T06:05:37ZengWileyBehavioural Neurology0953-41801875-85841994-01-0172939510.3233/BEN-1994-7208An Unusual Psychiatric Emergency: Herpes Simplex EncephalitisH. Doyle0J. Varian1North wick Park Hospital, Harrow, Middlesex HA1 3UJ, UKRoyal Victoria Hospital, Radnor Park West, Folkestone, Kent, UKA case of fatal herpes simplex virus (HSV) encephalitis, presenting as a psychiatric emergency, is reported. The possibility of HSV encephalitis presenting mainly or solely with psychiatric symptoms is highlighted. HSV can cause a severe form of encephalitis which may present with mainly psychiatric symptoms in some cases. Early treatment with anti-viral agents can reduce mortality and morbidity, but accurate early diagnosis may be very difficult. HSV encephalopathy may mimic psychiatric illness and has been likened to syphilis as the great imitator. The case presented here should serve to raise awareness of the psychiatric features and the need to consider this diagnosis in patients with atypical behavioural disturbance.http://dx.doi.org/10.3233/BEN-1994-7208
spellingShingle H. Doyle
J. Varian
An Unusual Psychiatric Emergency: Herpes Simplex Encephalitis
Behavioural Neurology
title An Unusual Psychiatric Emergency: Herpes Simplex Encephalitis
title_full An Unusual Psychiatric Emergency: Herpes Simplex Encephalitis
title_fullStr An Unusual Psychiatric Emergency: Herpes Simplex Encephalitis
title_full_unstemmed An Unusual Psychiatric Emergency: Herpes Simplex Encephalitis
title_short An Unusual Psychiatric Emergency: Herpes Simplex Encephalitis
title_sort unusual psychiatric emergency herpes simplex encephalitis
url http://dx.doi.org/10.3233/BEN-1994-7208
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