Case report of the treatment and experience of mental disorders due to chronic viral encephalitis

Abstract

Viral encephalitis is a common clinical condition. Its clinical manifestations are variable and include neurological symptoms and psychiatric abnormalities, which makes clinical diagnosis and treatment difficult. To date, there are only a few reported cases on mental symptoms of chronic viral encephalitis. We present a case of a 16-year-old male patient who was previously hospitalised and diagnosed with schizophrenia and treated with aripiprazole 15 mg/day but failed to respond. The patient was then given antiviral therapy and recovered after 2 weeks. Clinicians should be aware of the possbility that chronic mental disorders could be caused by viral encephalitis. In the future, diagnosis of chronic functional mental disorders should include viral encephalitis in the differential diagnosis.

Viral Meningoencephalitis Patient with Comorbid Major Depression with Psychotic Symptoms: A Case Report

“…A local immune response can remain active after viral infection, contributing to long-term neuropsychiatric, neurocognitive, and degenerative disorders. 3 Treatment Meningoencephalitis patients often require intensive monitoring and supportive care of oxygenation, airway patency, circulatory support, treatment of fever, cardiac arrhythmias, and instability of the autonomic system. Monitoring is necessary to know the direct effects of cerebral inflammation, especially cerebral edema, increased intracranial pressure, and focal or general seizures.…”

“…In clinical practice, clinicians need to master and carefully identify psychiatric symptoms caused by viral meningoencephalitis to reduce the rate of misdiagnosis and increase the efficiency of the diagnosis and therapy. 2,3 Depression is a developing health problem in public. In 2015, it was estimated to be the third leading cause of disability worldwide.…”