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A difficult case
Eastern equine encephalitis
  1. Daniel Berlin1,
  2. Ahmed I Gilani2,
  3. Amrit K Grewal1,
  4. Mary Fowkes2
  1. 1 Department of Neurology, Valley Hospital, Ridgewood, New Jersey, USA
  2. 2 Department of Pathology, Mount Sinai School of Medicine, New York, New York, USA
  1. Correspondence to Dr Daniel Berlin, East Ridgewood Ave, Ridgewood NJ 07450, USA; danberlin06{at}gmail.com

Abstract

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

https://doi.org/10.1136/practneurol-2017-001659

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    Footnotes

    • 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.

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