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🌱 Beginner Level — 0 / 50
HSV Encephalitis — Do Not Delay Acyclovir
A 52-year-old woman presents with fever, acute confusion, and focal seizures. MRI shows right temporal lobe hyperintensity. Outline inpatient pathway for suspected HSV encephalitis.
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sfx_miss_firm
00:00 / 00:00
sfx_correct_minimal
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sfx_complete_fanfare
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LP with CSF HSV PCR; obtain MRI brain and EEG for temporal spikes/periodic discharges
Support airway, treat seizures per SE protocol; manage ICP and temperature
Start IV acyclovir 10 mg/kg q8h immediately on suspicion (renal-dose adjust)
If PCR negative but high suspicion persists, continue acyclovir and repeat LP in 24–48h
Treat 14–21 days; monitor creatinine and ensure adequate hydration
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