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.
- Acyclovir 10mg/kg (10-15mg/kg for pediatrics) every 8hrs
- Acyclovir 10mg/kg every 8hr
Tick Associated (Borrelia burgdorferi, Ehrlichiosis or Rickettsia)
- Doxycycline 200 mg IV once followed by 100 mg IV twice daily