A 19 year old college student is brought to the emergency department for fever, confusion, and a generalized seizure. MRI of the brain shows edema and hemorrhage in the temporal lobe. Cerebrospinal fluid analysis reveals elevated protein, lymphocytic predominance, and numerous red blood cells. Which of the following is the most likely causal organism?
- A)Herpes simplex virus 2
- B)JC virus
- C)Varicella zoster virus
- D)Herpes simplex virus 1GABARITO
- E)Rabies virus
Explicação
Herpes simplex virus 1 is correct. HSV 1 causes sporadic hemorrhagic encephalitis involving the temporal lobes, often with red blood cells in the cerebrospinal fluid. The acute febrile encephalopathy and localization are classic. Ver explicação completa e trilha adaptativa →