Infectious causes of dementia: Difference between revisions
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== Differential Diagnosis == |
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= Infectious causes of dementia = |
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* Bacterial |
* '''Bacterial''' |
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** Syphilis, usually as general paralysis with emotional incontinence, irritability, grandiosity, euphoria, poor insight, apathy, delusions, and cognitive impairment |
** [[Syphilis]], usually as general paralysis with emotional incontinence, irritability, grandiosity, euphoria, poor insight, apathy, delusions, and cognitive impairment |
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** Lyme meningoencephalomyelitis, with impaired executive function and reduced attention |
** [[Lyme disease|Lyme meningoencephalomyelitis]], with impaired executive function and reduced attention |
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** Sequela of bacterial meningitis |
** Sequela of [[bacterial meningitis]] |
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** Whipple disease |
** [[Whipple disease]] |
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* Viral |
* '''Viral''' |
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** Viral encephalitis (usually reversible) |
** Viral encephalitis (usually reversible) |
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*** Herpesviruses, including HSV-1, HSV-2, EBV, HHV-6, HHV-7 (and CMV and VZV, in immunocompromised people) |
*** [[Herpesviruses]], including [[HSV-1]], [[HSV-2]], [[EBV]], [[HHV-6]], [[HHV-7]] (and [[CMV]] and [[VZV]], in immunocompromised people) |
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*** Arboviruses |
*** [[Arboviruses]] |
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*** Enteroviruses |
*** [[Enteroviruses]] |
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** HIV-associated dementia: motor slowing, depressed mood, impaired recall but not recognition, poor visuospatial skills, and impaired executive function |
** [[HIV]]-associated dementia: motor slowing, depressed mood, impaired recall but not recognition, poor visuospatial skills, and impaired executive function |
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*** Also, HIV-associated opportunistic infections including toxoplasmosis, cryptococcus, and CMV |
*** Also, HIV-associated opportunistic infections including [[toxoplasmosis]], [[cryptococcus]], and [[CMV]] |
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** Hepatitis C virus |
** [[Hepatitis C virus]] |
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** Measles (subacute sclerosing panencephalitis, SSPE) |
** [[Measles]] (subacute sclerosing panencephalitis, SSPE) |
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* Fungal |
* '''Fungal''' |
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** Cryptococcus |
** [[Cryptococcus]] |
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* Parasitic |
* '''Parasitic''' |
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** Neurocysticercosis (rarely) |
** [[Neurocysticercosis]] (rarely) |
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* Prion |
* '''Prion''' |
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** |
** [[Creutzfeldt-Jakob disease]] |
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[[Category:CNS infections]] |
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Latest revision as of 17:57, 6 November 2020
Differential Diagnosis
- Bacterial
- Syphilis, usually as general paralysis with emotional incontinence, irritability, grandiosity, euphoria, poor insight, apathy, delusions, and cognitive impairment
- Lyme meningoencephalomyelitis, with impaired executive function and reduced attention
- Sequela of bacterial meningitis
- Whipple disease
- Viral
- Viral encephalitis (usually reversible)
- Herpesviruses, including HSV-1, HSV-2, EBV, HHV-6, HHV-7 (and CMV and VZV, in immunocompromised people)
- Arboviruses
- Enteroviruses
- HIV-associated dementia: motor slowing, depressed mood, impaired recall but not recognition, poor visuospatial skills, and impaired executive function
- Also, HIV-associated opportunistic infections including toxoplasmosis, cryptococcus, and CMV
- Hepatitis C virus
- Measles (subacute sclerosing panencephalitis, SSPE)
- Viral encephalitis (usually reversible)
- Fungal
- Parasitic
- Neurocysticercosis (rarely)
- Prion
