It may however be less effective at identifying early cerebritis. The exact pathophysiological process of lupus cerebritis is unknown. Zhou's diary concluded that she suffered from cerebritis. Lupus cerebritis may occur in adults and children. The symptoms of cerebritis may range from mild to severe. Lupus cerebritis however is treated by suppressing the autoimmune activity. Early cerebritis should not be mistaken for normal, immature white matter, nor for cicatricial leukomalacia. In very rare cases, cerebritis may occur as a result of a Klebsiella pneumoniae infection.