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Encephalitis treatment - A case report with long-term follow-up of EBV PCR in cerebrospinal fluid

  • Lourdes Hospital
  • Lincoln Medical and Mental Health Centre
  • Columbia University

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Background: Epstein-Barr virus (EBV) has been found to cause infectious mononucleosis multiple times, but has been associated rarely with EBV encephalitis. Also, whenever it is diagnosed, it is always treated symptomatically. Case report: A case of confirmed EBV encephalitis is presented, which was treated with antiviral therapy resulting in complete clearance of the virus in cerebrospinal fluid and minimal neurologic symptoms after hospital discharge. Conclusion: The Infectious Diseases Society of America guidelines state that intravenous acyclovir is not recommended for EBV-related encephalitis. But we reviewed the literature and found similar cases, and we believe that antiviral therapy should be recommended for EBV encephalitis because it is a potentially fatal disease and if left untreated, can lead to raised intracranial pressure, craniotomy and even death.

Original languageEnglish
Pages (from-to)371-373
Number of pages3
JournalInternational Journal of General Medicine
Volume10
DOIs
StatePublished - Oct 26 2017

Keywords

  • Epstein-barr virus
  • HIV
  • Human immune deficiency virus
  • Intravenous

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