Eastern equine encephalitis

We describe a patient who died from a fulminant presentation of encephalitis. After an exhaustive search, we found no treatable cause. Postmortem PCR analysis of brain tissue led to a diagnosis of eastern equine encephalitis. We have identified several clinical pearls that may assist others in makin...

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Bibliographic Details
Published inPractical neurology Vol. 17; no. 5; pp. 387 - 391
Main Authors Berlin, Daniel, Gilani, Ahmed I, Grewal, Amrit K, Fowkes, Mary
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.10.2017
Subjects
Biopsy
Blood
Brain - metabolism
Brain - pathology
Brain Edema - etiology
Edema
Emergency medical care
Encephalitis
Encephalomyelitis, Eastern Equine - complications
Encephalomyelitis, Eastern Equine - pathology
Fever
Gangrene
Horses
Humans
Inflammation
Male
Middle Aged
Streptococcus infections
West Nile virus
United States > US
infectious diseases
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Summary:We describe a patient who died from a fulminant presentation of encephalitis. After an exhaustive search, we found no treatable cause. Postmortem PCR analysis of brain tissue led to a diagnosis of eastern equine encephalitis. We have identified several clinical pearls that may assist others in making the diagnosis earlier in the disease course.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1474-7758
1474-7766
DOI:10.1136/practneurol-2017-001659