A Case Report on Viral Meningoencephalitis with Radiculoneuropathy

Meningoencephalitis is an inflammation of brain and its surrounding membranes. It can be caused by bacteria, viruses, fungi, protozoa and by various other etiology. Radiculoneuropathy, also commonly referred to as pinched nerve, refers to a set of conditions in which one or more nerves are affected. The classic triad of fever, stiff neck and altered sensorium are seen in <50% of all patients with meningitis. Clinical presentation of viral encephalitis includes a prodrome of fever, headache, myalgia, and mild respiratory infection. Altered mentation, focal neurological deficits and seizures usually follow. Patient was brought to emergency department of hospital. He provided with empirical anti-biotic therapy and supportive care. Laboratory investigation like CSF analysis, liver function test, renal function test. Blood test like complete blood picture, dengue Ag. Microbiological test was also carried out. Radiological imaging like MRI of Brain, MRI of spine, Chest X-Ray. Upon clinical diagnosis patient was provided with antibiotic, antiviral and supportive care. Patient was also provided with mechanical ventilator. He was treated for 14 days. Keywords: meningoencephalitis, CSF analysis, classical triad