Interesting case. Second episode of Herpes Simplex encephalitis in an adult approximately 3 years after the first. Here is a case report and literature review on recurrent disease.
The main deteminant of outcome in HSV encephalitis is time to acyclovir. This article discusses factors associated with the delay of administration.
This article discusses the outcomes of HSV in population based study.
I discuss viral encephalitis in a previous blog.
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