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CASE REPORT
Year : 2021  |  Volume : 14  |  Issue : 1  |  Page : 66-68

A case of herpes simplex encephalitis: Predisposing factors-chemotherapy or chronic alcoholism?


1 Department of Microbiology, Rajarajeshwari Medical College and Research Institute, Bengaluru, Karnataka, India
2 Department of Pathology, Employees' State Insurance Corporation Medical College and PGIMSR, Bengaluru, Karnataka, India

Correspondence Address:
Panduranga Chikkannaiah
Department of Pathology, Employees' State Insurance Corporation Medical College and PGIMSR, Rajajinagar, Bengaluru - 560 010, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mjdrdypu.mjdrdypu_280_19

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Opportunistic infections acquired during the chemotherapy forms the main limiting factor in the management of acute myeloid leukemia. Bacterial infections are most common, followed by fungal and rarely viral. Alcohol in high doses and long-term consumption also decreases the immunological response. Here, we present a unique case of herpes simplex encephalitis in a 50-year-old male patient who has presented with altered behavior, slurring of speech, disorientation, fever on and off, and confusion for 2 days. He was a known case of acute myeloid leukemia and treated with chemotherapy 5 years back. Moreover, he was also a chronic alcoholic for many years and stopped 1 week before the symptoms. The possible mechanism of immunodeficiency by chemotherapy and alcohol are discussed.


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