Immune Mediated Meningoencephalitis
Hi, I will be seeing a new patient, "Riley", on Thursday. He is a 6 yr old, MN, Jack Russel Terrier who started out with neck pain at the beginning of June and then developed seizures on 6/8/17. An MRI was performed and he was diagnosed with immune mediated meningoencephalitis. There were also eosinophils in his CSF so infectious causes like cryptococcus or neopaspora can't be ruled out and titers are pending. CBC and Chem were normal although I don't have the actual results to confirm. The neurologist has him on Prednisone 10 mg in am and 5 mg in pm, zonisamide 100 mg - 1 PO BID, famotidine 10 mg - 1 PO SID. He developed diarrhea on the medications and was started on metronidazole 125 mg BID.
The neurologist was talking with the owner about options for long-term treatment, including cytarabine, procarbazine, and cyclosporine. The owner got concerned about all the medications and starting more and contacted me. Since starting the medications he has had no seizures.
Since I have not yet seen the client I can't give you a tongue or pulse description. I was considering herbs like xiao chai hu tang for its immune effects and Long Dan Xie Gan Tang. I have never treated meningoencephalitis with herbs before and any guidance you could give would be greatly appreciated.
Thanks and many blessings,