Template:Encephalitis Treatment: Difference between revisions
(Convert to AntibioticDose with disease=Encephalitis) |
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===Tick Associated ([[Borrelia burgdorferi]], [[Ehrlichiosis]] or [[Rickettsia]])=== | ===Tick Associated ([[Borrelia burgdorferi]], [[Ehrlichiosis]] or [[Rickettsia]])=== | ||
*{{AntibioticDose|disease=Encephalitis|drug=Doxycycline|dose=200 mg IV once followed by 100 mg IV twice daily|context=Tick Associated}} | *{{AntibioticDose|disease=Encephalitis|drug=Doxycycline|dose=200 mg IV once followed by 100 mg IV twice daily|context=Tick Associated}} | ||
===Pediatric=== | |||
====HSV Encephalitis==== | |||
*{{AntibioticDose|disease=Encephalitis|drug=Acyclovir|dose=20mg/kg IV q8hrs x 21 days (neonates); 10-15mg/kg IV q8hrs x 14-21 days (children)|context=Pediatric HSV|population=Pediatric}} | |||
====CMV Encephalitis==== | |||
*{{AntibioticDose|disease=Encephalitis|drug=Ganciclovir|dose=5mg/kg IV q12hrs|context=Pediatric CMV|population=Pediatric}} | |||
====Tick Associated==== | |||
*{{AntibioticDose|disease=Encephalitis|drug=Doxycycline|dose=2.2mg/kg IV q12hrs (max 100mg/dose)|context=Pediatric Tick Associated|population=Pediatric}} | |||
Latest revision as of 13:10, 20 March 2026
Often it is unclear which type of encephalitis is present and starting Acyclovir empirically is appropriate. In addition to the pathogens below, possible causes can include West Nile Virus, EBV, HIV, toxoplasmosis, or rabies.
HSV encephalitis
- Acyclovir 10mg/kg (10-15mg/kg for pediatrics) every 8hrs
HZV encephalitis
- Acyclovir 10mg/kg every 8hr
CMV encephalitis
- Ganciclovir 5mg/kg IV every 12hr OR
- Foscarnet 90mg/kg IV every 12 hrs
Tick Associated (Borrelia burgdorferi, Ehrlichiosis or Rickettsia)
- Doxycycline 200 mg IV once followed by 100 mg IV twice daily
Pediatric
HSV Encephalitis
- Acyclovir 20mg/kg IV q8hrs x 21 days (neonates); 10-15mg/kg IV q8hrs x 14-21 days (children)
CMV Encephalitis
- Ganciclovir 5mg/kg IV q12hrs
Tick Associated
- Doxycycline 2.2mg/kg IV q12hrs (max 100mg/dose)