Citation

Deest M, Eberlein C, Bleich S, Frieling H, Skripuletz T, Neyazi A. Case Rep. Psychiatry 2021; 2021.

Copyright

(Copyright © 2021, Hindawi Publishing)

DOI

10.1155/2021/6687735

PMID

unavailable

Abstract

Viral encephalitis often presents with severe illness, headache, fever, behavioral changes, altered level of consciousness, and focal neurologic deficits. One of the most feared kind of virus encephalitis is herpes simplex encephalitis; however, other central virus infections are also capable of presenting with psychiatric symptoms. Here, we report the case of a 22-year-old woman with first time visual and auditory hallucinations due to an acute enterovirus encephalitis with no cerebrospinal fluid abnormalities but a positive PCR result for enterovirus (ECHO). During treatment, the symptoms deteriorated, and she hat to be shifted to the sheltered ward because of imperative suicidal auditory hallucinations. Under treatment with risperidone and olanzapine, symptoms suddenly stopped and did not reoccur under subsequent reduction of the antipsychotic medication. © 2021 M. Deest et al.

Language: en

Keywords

adult; human; suicide; female; polymerase chain reaction; case report; disease severity; nurse; clinical article; prolactin; prolactin blood level; headache; nuclear magnetic resonance imaging; emergency ward; nonsteroid antiinflammatory agent; olanzapine; risperidone; diarrhea; lorazepam; disease exacerbation; electroencephalogram; deterioration; laboratory test; aripiprazole; auditory hallucination; Article; visual hallucination; virus encephalitis; young adult; Enterovirus infection; home for the aged