Urgent Investigation in Suspected Encephalitis
Blood culture (×2) CT LP if not contraindicated (send CSF for PCR for HSV-1 in addition to other tests) (Chapter 123) Throat swab Full blood count and film Blood film for malaria if indicated Coagulation screen C-reactive protein Blood glucose Sodium, potassium, urea and creatinine Liver function tests Creatine kinase Urinalysis Toxicology screen if poisoning is possible (send serum (10 mL) + urine (50 mL)) Arterial blood gases and pH Chest X-ray Serological testing (if indicated) for other infectious diseases Immunological tests if suspected autoimmune encephalitis |