A typical presentation of viral encephalitis with psychiatric manifestation and quick; complete recovery

Authors

  • Dhan Bahadur Shrestha Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal
  • Chiranjibi Panta Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal
  • Namrata Rawal Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal
  • Paawan Bhandari Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal
  • Pradeep Manandhar Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal
  • Nagendra Katuwal Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

Keywords:

Atypical viral encephalitis, insular cortex, Major depressive disorder, Midline shift

Abstract

Viral Encephalitis is a common emergency condition, among the virus herpes simplex is on the top. Encephalitis usually present with clinical features of fever, headache, confusion with seizures but presentation can be atypical making the situation difficult and needs crucial judgement. Here we present an atypical case of viral encephalitis in a 32 years old male, initially presented with feature of depression with concomitant elicited history of conflict in the family confounding the situation. The case was managed successfully with multidisciplinary approach involving psychiatrist, neuro physician, and neurosurgeons in hospital for one month.

Author Biographies

  • Dhan Bahadur Shrestha, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

    Department of Medicine

  • Chiranjibi Panta, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

    Department of Medicine

  • Namrata Rawal, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

    Department of Psychiatry

  • Paawan Bhandari, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

    Department of Neurosurgery

  • Pradeep Manandhar, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

    Department of Psychiatry

  • Nagendra Katuwal, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

    Department of Psychiatry

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Published

2018-03-31

How to Cite

1.
A typical presentation of viral encephalitis with psychiatric manifestation and quick; complete recovery. JCMC [Internet]. 2018 Mar. 31 [cited 2024 May 20];8(1):71-3. Available from: https://www.jcmc.com.np/jcmc/index.php/jcmc/article/view/775