Herpes Simplex Encephalitis (HSE) is a rare but severe brain infection caused by the herpes simplex virus. It's a medical emergency requiring prompt treatment with antivirals to reduce mortality and neurological damage.

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Herpes Simplex Virus Encephalitis (HSVE) FAQ


What causes Herpes Simplex Encephalitis?

It's caused by the herpes simplex virus type 1 (HSV-1) or, less commonly, HSV-2.

How is HSE diagnosed in Malaysia?

Diagnosis involves PCR testing of cerebrospinal fluid (CSF), MRI scans, and clinical evaluation.

What are the early symptoms of HSE?

Fever, headache, confusion, seizures, and altered mental status.

Is HSE contagious?

No, it's not directly contagious; HSV-1 is common but rarely causes encephalitis.

What's the primary treatment for HSE?

Intravenous aciclovir is the first-line antiviral treatment.

Can HSE be cured if treated early?

Prompt treatment significantly improves survival rates and reduces complications.

What are the complications of untreated HSE?

Brain damage, coma, and death are potential outcomes without treatment.

How long is the hospital stay for HSE?

Typically 2-3 weeks for IV antiviral therapy and monitoring.

Can HSE recur after treatment?

Recurrence is rare if the initial treatment is completed and effective.

Are there any vaccines for HSE Prevention?

No vaccines are currently available for HSV-1 or HSV-2.

How does HSE affect children in Malaysia?

It's rare in children but can occur, especially in adolescents.

What's the role of steroids in HSE treatment?

Steroids are not routinely recommended and may be harmful.

Can HSE be transmitted through mosquito bites?

No, HSV does not spread through mosquito vectors.

What's the cost of HSE treatment in Malaysia?

Cost varies; medical insurance and public healthcare options are available.

Is follow-up care necessary after HSE?

Yes, for monitoring neurological recovery and potential complications.

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