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MELAS Syndrome Masquerading as Herpes Simplex Encephalitis
Neurol 43:2471-2473, Johns,D.R.,et al, 1993
See this aricle in Pubmed

Article Abstract
Herpes simplex encephalitis(HSE)is commonly treated empirically with acyclovir without confirmatory brain biopsy.Three consecutive adults with molecularly verified mitochondrial encephalomyopathy,lactic acidosis,and stroke-like episodes(MELAS)syndrome presented with,and were treated for, apparent HSE.MELAS syndrome in adults may present as an atypical,recurrent form of HSE and should be added to the list of neurologic diseases that can mimic HSE.
 
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herpes simplex encephalitis
herpes simplex encephalitis,differential diagnosis of
herpes simplex encephalitis,recurrent
MELAS syndrome
misdiagnosis

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