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Case Reports
. 2020 Sep 7;13(9):e230512.
doi: 10.1136/bcr-2019-230512.

Mania presenting as a VZV encephalitis in the context of HIV

Oliver George  1 , Jessica Daniel  2 , Sophie Forsyth  2 , David Enright  3
Affiliations
Case Reports

Mania presenting as a VZV encephalitis in the context of HIV

Oliver George et al. BMJ Case Rep. .

Abstract

Acute encephalitis can be life-threatening, especially in the immunocompromised population. Viruses are the main infectious agents, with varicella zoster virus (VZV) a common cause. Neuropsychiatric symptoms are well documented, but it is rare for mania to be the only symptom on presentation. Here, we report a case of hypomania in a 31-year-old white British heterosexual man who following investigation was found to be HIV positive and subsequently diagnosed with VZV encephalitis. To date, we are unaware of any similarly reported cases. It is important to raise awareness of atypical HIV presentations to improve clinical outcomes for patients.

Keywords: HIV/AIDS; psychiatry.

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Conflict of interest statement

Competing interests: None declared.

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