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PCR revealed to be negative for Enterovirus, Cytomegalovirus, Varicella zoster virus, Herpes simplex, Cryptococcus neoformans, Listeria monocytogenes, Haemophilus influenza, Neisseria meningitides, Str.

Mycoplasma pneumoniae, Chlamydophila pneumoniae, Bordetella pertussis and Bordetella parapertussis also were excluded. Viral conjunctivitis was confirmed by the ophthalmologist. Cultures of blood and CSF remained sterile.

Because HMPV encephalitis was diagnosed, antibiotics were discontinued. MRI of the brain did not reveal cerebral infectious disease nor recent ischemia.

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Levetiracetam was discontinued after 4 months because of favourable outcome with complete remission. Neurological features of HMPV encephalitis Deeth NV sexy women coma, delirious behavior, impaired consciousness, seizures, and refractory status epilepticus [ 2 ].

In the ly reported adult cases two presented with altered mental status, one with seizures. Flensburg woman needs sex all cases encephalitis was diagnosed on clinical grounds despite lacking laboratory support e.

Antiviral drugs e. In our patient acyclovir and antibiotics were initiated and administered until serological testing, PCR and cultures were available [ 134 ].

Extensive testing for viral and bacterial pathogens can help the clinician in getting a much faster diagnosis, initiating proper treatment, and predicting outcome. In some patients MR imaging does suggest autoimmune pathogenesis [ 13 ].

In our patient MRI was within normal limits: this might be due to Hot ladies seeking nsa Aachen uncomplicated clinical course or because of the time lapse between MRI and Adult search in Geel clinical symptoms. In IAE rapid recovery both clinically and radiographically has been reported [ 5 ].

Compliance with ethical standards Conflict of interest All the authors report no disclosure nor conflict of interest relevant to the manuscript. All authors report no financial disclosure.

Ethical approval This manuscript does not contain any studies with human participants or animals performed by any of the authors. Informed consent Informed consent was obtained from all individual participants included in the study.

Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.