Q:

A 27 year old man presents to the emergency department with 2 days history of severe headache and pyrexia (38.9C). CT: petechial hemorrhage in the temporal and inferior frontal lobes. What is the most likely diagnosis?

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A 27 year old man presents to the emergency department with 2 days history of severe headache and pyrexia (38.9C). CT: petechial hemorrhage in the temporal and inferior frontal lobes. What is the most likely diagnosis?


  1. Brain abscess
  2. Meningococcal meningitis
  3. Cerebral malaria
  4. Herpes simplex encephalitis
  5. New variant CID

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The key is D. Herpes simplex encephalitis. [Petechial hemorrhage in the temporal and inferior

frontal lobes are characteristic of Herpes simplex encephalitis].

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