Treatment

Treatment of mild encephalitis usually includes bed rest at home, drinking
lots of fluids, and taking over-the-counter pain relievers to bring down
fever and treat headaches. If the patient gets worse suddenly, or if the infection
is severe from the start, emergency treatment in a hospital is necessary.

Specific forms of treatment for encephalitis in the hospital may
include:
  • Acyclovir for HSV encephalitis. Acyclovir is an antiviral drug that
    is given intravenously when the doctor suspects HSV encephalitis.
    It is given for a period of two to three weeks.
  • If the encephalitis is caused by a bacterium, the doctor may prescribe
    antibiotics. Antibiotics cannot be used to treat encephalitis
    caused by viruses, however.
  • Patients are monitored for signs of swelling of the brain, and they
    are given intravenous fluids to prevent dehydration.
  • Patients who are having seizures are given anticonvulsants (antiseizure
    drugs).
  • Sedatives may be given to patients who are restless or having
    trouble sleeping.
  • Patients who are partially paralyzed or having trouble breathing are
    put on a respirator.
Patients who have had severe encephalitis may suffer permanent
damage if they survive. They may need physical therapy, speech therapy,
or psychological counseling after the acute illness has passed.

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