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CASE REPORT
Year : 2022  |  Volume : 9  |  Issue : 2  |  Page : 69-71

Aphasia as the initial manifestation of herpes encephalitis


1 Department of Pediatrics, The Indus Hospital, Karachi, Pakistan
2 Department of PICU, The Indus Hospital, Karachi, Pakistan

Correspondence Address:
Dr. Muhammad Shahzad
The Indus Hospital, Karachi
Pakistan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JPCC.JPCC_141_20

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Pediatric acquired aphasia is an uncommon presenting complaint in children. Because of many etiologies that may prove fatal, it is essential to take immediate essential steps for diagnoses and treatment. We are presenting a 9-year-old child who was conscious, alert and did not have any other systemic findings at presentation. After initial and then more extensive workup, he was diagnosed with herpes encephalitis. Acyclovir has been started as empirical antiviral therapy. In the course of disease, he developed status epilepticus that was controlled with multi anti-epileptic drugs. Intravenous acyclovir continued for 21 days, and anti-epilepticus medicines were given at discharge.


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