PG Dreamer

Previously tested in Phase A final OSPE, MRCP Part 2, 'FCPS Part 1 Medicine'

Herpes encephalitis is a serious viral infection of the brain, most commonly caused by Herpes Simplex Virus type 1 (HSV-1).

Symptoms usually develop over hours to days and may include:

1. Fever
2. Headache
3. Altered mental status (confusion, personality changes, decreased consciousness)
4. Seizures
5. Memory impairment
6. Speech disturbances (aphasia)
7. Focal neurological deficits

✪ The most characteristic MRI finding is:

Hyperintense lesions on T2-weighted and FLAIR sequences involving the medial temporal lobes, often asymmetrically.

✪ Treatment includes

Intravenous Acyclovir for 14–21 days

Supportive care (management of seizures, cerebral edema, and complications)

'Isles of white in a sea of Red' rash is is a classic dermatological sign of fever, appearing as a confluent red rash with small islands of normal skin

SBA

FCPS part 1 & Midterm
SBA practice