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And the rare but serious complication of HSV-1 encephalitis deserves explicit mention because the warning signs are easy to dismiss: sudden severe headache, fever, confusion, or seizure in an adult with cold-sore history is an emergency department visit, full stop

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She walked several steps toward the opposite bank and saw at her feet a dead deer frozen in the river, turned on its side, the profile of its face defined as a sculpture, its single eye open, its stomach split wide, the red still visible through the ice, intestines, a dark red organ, spilling out, frozen against her stomach like a half-borne child erupting from her womb