Navigating Neurological and Cardiac Complexities: A Case Study on Viral Meningoencephalitis in a Patient With Ischemic Heart Disease
Han Grezenkoa b c d e f, Faryal Zafara b c d e f, Eemaz Nathaniela b c d e f, Guillermo Aguirrea b c d e f, Shariq K Balucha b c d e f, Muhammad Abubakara b c d e f✉
- aTranslational Neuroscience, Barrow Neurological Institute, Phoenix, USA
- bClinical Research, Harvard Medical School, Boston, USA
- cInternal Medicine, Ignacio A. Santos School of Medicine, Ciudad de México, MEX
- dInternal Medicine, Universidad Autonoma de Guadalajara, Guadalajara, MEX
- eInternal Medicine, Wah Medical College, Wah, PAK
- fMedicine, Ziauddin University, Karachi, PAK
- ✉Corresponding author
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Abstract
We present a case of viral meningoencephalitis in a 40-year-old male with ischemic heart disease, a combination that is rare and presents unique diagnostic and therapeutic challenges. The patient's symptoms included high-grade fever, severe headache, projectile vomiting, and altered consciousness. The diagnosis was supported by MRI and CSF analysis. Management, complicated by the patient's cardiac condition, required a personalized approach, including antiviral therapy, corticosteroids, and vigilant monitoring of cardiac and neurological status. Treatment adjustments were made in response to the patient's evolving condition, leading to improvement within a week. This case underscores the need for a multidisciplinary approach in such complex scenarios, highlighting the significance of tailored care for patients with neurological symptoms and concurrent cardiac comorbidities. The report contributes to the literature on managing meningoencephalitis in patients with significant cardiac histories, underscoring personalized medicine's role in successful outcomes.