Acute viral herpetic encephalitis complicated by brain swelling, cerebral coma, and episyndrome (symptomatic syndrome) in the presence of aspiration pneumonia: the impact of treatment policy on the time course of changes in a patient's condition (a clinical case)


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Abstract

The authors review modern methods for therapy In patients with herpetic encephalitis, as well as their own clinical case of a 22-year-old female patient with viral encephalitis, cerebral coma, and episyndrome (symptomatic syndrome) complicated by bilateral community-acquired polysegmental pneumonia, who was admitted to the hospital with suspected community-acquired COVID-19 pneumonia. The paper reflects the time course of changes In her status according to the treatment policy and shows the complexity of timely diagnosis and adequate therapy of herpetic encephalitis In the presence of community-acquired pneumonia of Initially unknown genesis. This case clearly shows how rehydration Is substituted for dehydration, by correcting fluid and electrolyte balance, how antiviral and antibacterial therapies are properly corrected, how parenteral feeding Is switched to full tube feeding, avoiding metabolic medication polypharmacy, applying an alternative approach to resolving cerebral edema, by prescribing a angloprotector with a decongestant effect could qualitatively change the patients condition.

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About the authors

A. V Ponomarev

City Emergency Hospital

Rostov-on-Don

T. V Mamedova

City Emergency Hospital

Email: vir-z@yandex.ru
Rostov-on-Don

A. V Zachepa

City Emergency Hospital

Rostov-on-Don

O. L Usutina

City Emergency Hospital

Rostov-on-Don

E. A Lebedeva

Rostov State Medical University

Rostov-on-Don

E. A Kravchenko

City Emergency Hospital

Rostov-on-Don

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