Meningoencefalitis Secundaria a una Infección de origen Viral

Abstract

Analyze this case is a 40 year-old male mongrel Catholic, married sex, born in Chimborazo and Cotopaxi resident, occupation: preparing insecticides for plantations. No medical history relates. Relatives tell the patient about a week ago before admission I present episodes of disturbed behavior such as irritability and incoherent speech, also laughs spontaneous, frontal headache of moderate intensity radiating to the occipital region and is accompanied by weakness, so family they decide to use traditional medicine. After 24 hours the patient began to have chills, fever, diaphoresis and from 72 hours ago before admission did not communicate, indicated that looked unreal things and was entering a state of aggression and psychomotor agitation. He was admitted on February 2 in the IESS Latacunga, then family requested discharge, is taken home where re-use the same traditional medicine, the patient remains for 8 days without medical attention so that the picture gets worse and relatives come with 11.02.2016 the patient back to Latacunga IESS. The patient entered phase mutism, state of passivity and tends to adopt a fetal position with nuchal rigidity, unquantified thermal rise and intense diaphoresis, why is admitted to the area of critical, lumbar puncture is performed which presents with hypotension and extraction with an LCR whitish, so is considered a bacterial meningitis establish and decide antibacterial prophylactic vancomycin and ceftriaxone therapy. The patient is transferred to HCAM where he remained hospitalized for 19 days in the area of infectious diseases with a diagnosis of viral meningoencephalitis, diagnosed by 2 new lumbar punctures, in which the first dubious CSF was obtained and cataloged as a infection tuberculous type so a antifímica therapy without completion of the scheme because 5 days after the second puncture an LCR longer supported was obtained with a viral infection was established, which receives a retroviral therapy Acyclovir, which it was obtained a good clinical response and decide your discharge.