Ok guys. We have really gone through everything again and at this point
Infectious Disease feels really, really convinced it's not infectious and Neurology
thinks it is a kind of autoimmune limbic encephalitis-- most likely
something called anti-NMDA receptor encephalitis. I (Bryn) agree with the
thinking and have fought to leave him on one antibiotic and antiviral
just in case, but he will get started on high dose steroids and IVIG this
afternoon. If he doesn't get better then he will get plasmapheresis or
other immunosuppression. I feel good about this as a possible diagnosis
and also the fact that he has a good prognosis if this is what he has
and he responds to treatment. I am also happy that we have a treatment
plan that we are going to go down. If you want to read up on what this
is that we are starting to treat him with, please check out this article
as I think it is a good summary of the disease and treatment.
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