We describe a patient who died from a fulminant presentation of encephalitis. After an exhaustive search, we found no treatable cause. Postmortem PCR analysis of brain tissue led to a diagnosis of eastern equine encephalitis. We have identified several clinical pearls that may assist others in making the diagnosis earlier in the disease course.
- infectious diseases
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Contributors The authors contributed equally to the conception, writing and revision of the manuscript.
Competing interests None declared.
Patient consent Obtained.
Ethics approval None declared.
Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Nicholas Davies, London, UK.