ABSTRACT
HSV 1 encephalitis is the most common cause of sporadic and focal viral encephalitis. Opercular syndrome is characterized by swallowing and speech difficulties which are associated with deterioration of voluntary control of face, pharynx, tongue and chewing muscles. It can be developed in patients with Herpes simplex encephalitis (HSE). Here, a twelve-year-old boy who was diagnosed with HSE and Opercular syndrome, is presented. The patient recovered without sequela as a result of 30 days of intravenous and 10 days of oral acyclovir treatment. It might be important as well, to personalize and elongate the treatment in terms of prognosis.
Subject(s)
Acyclovir/administration & dosage , Antiviral Agents/administration & dosage , Deglutition Disorders/diagnosis , Deglutition Disorders/pathology , Dysarthria/diagnosis , Dysarthria/pathology , Encephalitis, Herpes Simplex/complications , Encephalitis, Herpes Simplex/drug therapy , Facial Paralysis/diagnosis , Facial Paralysis/pathology , Child , Head/diagnostic imaging , Humans , Magnetic Resonance Imaging , MaleABSTRACT
Currently, tuberculosis remains a major public health problem worldwide. Peritoneal tuberculosis occurs in approximately 1% of all of tuberculosis cases and is rarely observed in children. Diagnosis and treatment delays caused by mimicking many other intra-abdominal diseases can lead to increases in morbidity and mortality. Here, we present a case of a four-year-old child with tuberculosis peritonitis who was diagnosed by laparoscopic biopsy and histopathological examination and recovered with antituberculosis therapy. Peritoneal tuberculosis should be considered in younger patients and adults with fever, abdominal pain and weight loss in endemic areas.
