Encephalitis and psychosis in adolescence: report of clinical
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Published
2017-12-28
How to Cite
García Antich, S., Flórez Fernández, I., Jimeno Beltrán, T., & Barahona Aceituno, P. (2017). Encephalitis and psychosis in adolescence: report of clinical. Revista De Psiquiatría Infanto-Juvenil, 34(4), 400–404. https://doi.org/10.31766/revpsij.v34n4a3
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Section
Case reports
DOI:
https://doi.org/10.31766/revpsij.v34n4a3Keywords:
Psychosis, encephalitis, herpes, simplex, adolescenceAbstract
Herpes simplex encephalitis is an infection of the central nervous system and is a medical emergency due to its high mortality and morbidity, which requires early detection and treatment. We present a case of a 16-year-old adolescent with no prior somatic and psychiatric history, who debuted with a sudden onset of clinical symptoms characterized by productive psychotic symptoms. After extensive workup, Herpes simplex virus type 1 (HSV-1) is detected in cerebrospinal fluid (CSF), with good response to Acyclovir treatment. The case illustrates the importance of ruling out the organic causes in patients with a first psychotic episode and establishing early treatment, which is a determining factor in the course and prognosis of the disease.
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References
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2. Israel S, Felix B. Update on Herpes Virus Infections of the Nervous System. Curr Neurol Neurosci Rep 2013; 13: 414.
3. Arciniegas DB, Anderson CA. Viral Encephalitis: Neuropsychiatric and Neurobehavioral Aspects. Current Psychiatry Reports 2004; 6: 372–379.
4. Rui-Yun Z, Ming L, Yi-Ming Z, Xiu-Min L, Xiu-Xia C. Research on early diagnosis and impact prognostic factors of herpes simplex encephalitis. Int J Clin Exp Med 2016; 9: 4695-4698.
5. Feng W, Chen T, Hu B, Wan J, Liu G. Clinical characteristics, prognosis and genetic susceptibility of herpes simplex encephalitis in children. Zhonghua Er Ke Za Zhi 2015; 53: 701-6.
6. Tunkel AR, Glaser CA, Bloch KC, Sejvar JJ, Marra CM, Roos KL et al. The management of encephalitis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis 2008; 47: 303–327.
7. Kneen R, Michael BD, Menson E, Mehta B, Easton A, Hemingway C et al. Management of suspected viral encephalitis in children—Association of British Neurologists and British Paediatric Allergy Immunology and Infection Group national guidelines. J Infect 2012; 64: 449–477.
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