{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T08:27:13Z","timestamp":1769070433613,"version":"3.49.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Autoimmune encephalitis can occur in isolation or as a postinfectious complication, such as following infection with SARS-CoV-2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A patient presented with neuropsychiatric symptoms 3 weeks after SARS\u2011CoV\u20112 infection, including dysphagia, psychosis, and partial-onset seizures. The patient tested positive for anti\u2013N-methyl-d-aspartate receptor antibodies in cerebrospinal fluid as well as anti\u2013\u03b3-aminobutyric acid type A receptor and anti\u2013glutamic acid decarboxylase antibodies in the serum. Findings from brain magnetic resonance imaging and electroencephalography were unremarkable. Cerebrospinal fluid analysis revealed 3 white blood cells\/\u03bcL, slightly elevated total protein levels (3.16 mmol\/L [reference range, 0.83-2.50 mmol\/L]), normal blood glucose levels (3.44 mmol\/L\u00a0[reference range, 2.22-3.88 mmol\/L]), and negative results on Gram stain and cytologic examination. Nevertheless, a diagnosis of autoimmune encephalitis was established. After 3 months, elevated liver enzyme levels and positive anti\u2013liver-kidney microsomal type 1, anti\u2013smooth muscle, and anti\u2013\u03b1-actinin antibodies led to liver biopsy and diagnosis of autoimmune hepatitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The patient was treated with repeated pulses of intravenous methylprednisolone, followed by rituximab administered every 6 months for 2 years, resulting in complete recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This unprecedented case raises a high index of suspicion for autoimmune states in patients presenting with compatible clinical features, even when typical laboratory findings are unremarkable.<\/jats:p>\n                  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