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Atypical imaging presentation of herpes simplex virus encephalitis in paediatric immunocompromised oncology patients.

Tejas H KapadiaArpita Sahu AAnurag GuptaChetan DhamneMaya PrasadGirish ChinaswamySeema Kembhavi
Published in: Journal of medical imaging and radiation oncology (2021)
Immunocompromised paediatric patients with haematological malignancies have widespread atypical brain involvement in herpes simplex encephalitis with lack of diffusion restriction and post-contrast enhancement, likely due to haematogenous spread of HSV across the blood-brain barrier, lack of cellular immunity and limited inflammatory cytokine response.
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