MRI Diagnosis of Herpes Simplex Encephalitis in an Elderly Man with Nonspecific Symptoms.
A 78-year-old male presented to the Emergency Department complaining of a 1-week onset of increasing fatigue and anorexia. The patient was previously well but had a history of depression, chronic diarrhea, and hypertension. His examination was remarkable for mild fever (100.1°F). He had no acute neurologic deficits. The patient felt better after intravenous fluids and was discharged to follow-up with the primary care provider. With no resolution of symptoms and new memory loss, the patient's primary care doctor ordered an MRI which revealed abnormal signal/patchy enhancement of the left temporal lobe indicative (pathognomonic) of herpes simplex encephalitis. This case emphasizes the importance of early consideration of herpes simplex encephalitis in the differential of patient's with these symptoms.
Published In/Presented At
Croll, B. J., Dillon, Z. M., Weaver, K. R., & Greenberg, M. R. (2016). MRI diagnosis of herpes simplex encephalitis in an elderly man with nonspecific symptoms. Radiology Case Reports, 12(1), 159-160. doi:10.1016/j.radcr.2016.11.021
Emergency Medicine | Radiology
Department of Emergency Medicine, Department of Emergency Medicine Faculty, Department of Emergency Medicine Residents, Department of Radiology and Diagnostic Medical Imaging, USF-LVHN SELECT Program, USF-LVHN SELECT Program Students