探讨单纯疱疹病毒脑炎的精神病学谱系。

IF 2 4区医学 Q3 PSYCHIATRY

Indian Journal of Psychiatry Pub Date : 2025-09-01 Epub Date: 2025-09-16 DOI:10.4103/indianjpsychiatry_347_25

S Haritha, Soumya P Thomas, Joice Geo

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引用次数: 0

摘要

单纯疱疹病毒性脑炎（HSE）通常表现为发热、癫痫发作和感觉改变，但非典型的表现与主要的精神症状可以延迟诊断和治疗。我们报告一个病例系列的三个病人，他们最初表现出精神病症状，包括幻觉和情绪障碍，没有典型的神经症状。通过脑脊液分析和MRI检查确诊。早期抗病毒治疗使患者迅速康复。本系列强调了在急性精神病学表现中考虑HSE的重要性，以防止误诊并确保及时干预。

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Exploring the psychiatric spectrum of herpes simplex virus encephalitis.

Herpes simplex encephalitis (HSE) typically presents with fever, seizures, and altered sensorium, but atypical presentations with predominant psychiatric symptoms can delay diagnosis and treatment. We report a case series of three patients, who initially exhibited psychotic symptoms, including hallucinations and mood disturbances, without classic neurological signs. Diagnosis was confirmed via cerebrospinal fluid analysis and MRI findings. Early antiviral therapy led to prompt recovery. This series highlights the importance of considering HSE in acute psychiatric presentations to prevent misdiagnosis and ensure timely intervention.

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来源期刊

Indian Journal of Psychiatry Medicine-Psychiatry and Mental Health

CiteScore

4.40

自引率

3.20%

发文量

130

审稿时长

34 weeks

期刊介绍： The Indian Journal of Psychiatry (ISSN 0019-5545), is an official publication of the Indian Psychiatric Society. It is published Bimonthly with one additional supplement (total 5 issues). The IJP publishes original work in all the fields of psychiatry. All papers are peer-reviewed before publication. The issues are published Bimonthly. An additional supplement is also published annually. Articles can be submitted online from www.journalonweb.com . The journal provides immediate free access to all the published articles. The journal does not charge the authors for submission, processing or publication of the articles.