PT - JOURNAL ARTICLE AU - Michel Toledano AU - Nicholas W S Davies TI - Infectious encephalitis: mimics and chameleons AID - 10.1136/practneurol-2018-002114 DP - 2019 Jun 01 TA - Practical Neurology PG - 225--237 VI - 19 IP - 3 4099 - http://pn.bmj.com/content/19/3/225.short 4100 - http://pn.bmj.com/content/19/3/225.full SO - Pract Neurol2019 Jun 01; 19 AB - ‘Query encephalitis’ is a common neurological consultation in hospitalised patients. Identifying the syndrome is only part of the puzzle. Although historically encephalitis has been almost synonymous with infection, we increasingly recognise parainfectious or postinfectious as well as other immune-mediated causes. We must also distinguish encephalitis from other causes of encephalopathy, including systemic infection, metabolic derangements, toxins, inherited metabolic disorders, hypoxia, trauma and vasculopathies. Here, we review the most important differential diagnoses (mimics) of patients presenting with an encephalitic syndrome and highlight some unusual presentations (chameleons) of infectious encephalitis.