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Murray valley encephalitis mimicking herpes simplex encephalitis
Journal article   Peer reviewed

Murray valley encephalitis mimicking herpes simplex encephalitis

S.H. Wong, D.W. Smith, M.J. Fallon and A.G. Kermode
Journal of Clinical Neuroscience, Vol.12(7), pp.822-824
2005
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Abstract

We describe a patient with serologically proven Murray Valley encephalitis (MVE), whose presentation was clinically and radiologically characteristic of Herpes simplex encephalitis (HSE). The reports of MRI abnormalities in MVE, and the closely related Japanese Encephalitis and West Nile virusii are mostly of bilateral thalamic or grey matter involvement. The MRI scan findings in this case instead showed the typical temporal lobe changes of HSE. Our case report highlights that MVE can mimic HSE, both clinically and radiologically. Therefore it is important to collect an accurate and detailed travel history from patients where there is a risk of exposure to MVE virus. If suspected, antibody testing of serum and CSF, and CSF for MVE-RNA if available, should be undertaken. This case also highlights the potential under-diagnosis of Murray Valley encephalitis.

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Collaboration types
Domestic collaboration
Citation topics
1 Clinical & Life Sciences
1.228 Virology - Tropical Diseases
1.228.200 Mosquito-borne Viruses
Web Of Science research areas
Clinical Neurology
Neurosciences
ESI research areas
Neuroscience & Behavior
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