13 year old female having sudden onset high grade fever with delirium. CT. finding s/o involvement of limbic system & medial temporal lobe - Dx is: (A) Subarachnoid hemorrhage, (B) Herpes simplex encephalitis, (C) Pyomeningitis, (D) Cerebral malaria
Answer is B. Ans. is 'b' i.e., Herpes simplex encephalitis Herpes simplex encephalitis Acute necrotising infection involving frontal, temporal lobe & limbic system. Feature Non specific - fever, headache, nuchal rigidity. convulsion, altered sensorium. Confirmed by CSF examin & radio imaging. Treatment suppoive and Acyclovir