Case
Study #7
1
2 3
4 5
6 7
8 9
10 11
12 13
Further
Evaluation on hospital day #2
- Neuro-Oncology
and ID consulted
- T
101°F, BP 123/66, P 50
- PE-
not oriented to time or place
- clinical
impression: right temporal lobe encephalitis
- differential
diagnosis per ID:
- HSV
I
- enterovirus
70, 71 (can mimic HSV)
- EEE
or other arboviruses (West Nile)
- Japanese
encephalitis
- Cat
scratch disease
- ID
recommended continuing acyclovir
- patient
underwent right temporal lobe biopsy that afternoon
Breakpoint
#5
- How
would you interpret the following 4 slides from the brain
biopsy?
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