Purulent encephalitis

Encephalitis is a very common disease, especially in children. Children with encephalitis will have fever and vomiting. The most common one is purulent encephalitis. Parents are very worried when such a disease occurs, and they don’t know what to do. Purulent encephalitis will have many effects on babies. Everyone should understand the symptoms of this disease in time and treat it in time.

Encephalitis should have a lot of impact on us. After suffering from encephalitis, symptoms such as fever, vomiting, and headache will appear. Especially children will suffer a lot when they suffer from encephalitis, and parents will also be very anxious. Today we will have a detailed understanding of purulent encephalitis.

Clinically significant manifestations of purulent meningitis

The onset of purulent meningitis can be divided into two types. The acute onset can quickly present with progressive shock, skin hemorrhages or ecchymoses, impaired consciousness, and symptoms of disseminated intravascular coagulation. It is mostly a critical fulminant type caused by meningococcal infection. If not treated in time, the child may die within a few hours. The subacute onset is mostly caused by Haemophilus influenzae or Streptococcus pneumoniae meningitis. The incidence is usually higher than usual. There are upper respiratory tract inflammation or gastrointestinal symptoms. Those who are given antibiotics at the onset of the disease can all present with a subacute course of purulent meningitis.

In addition to the prodromal respiratory infection syndrome, the main symptoms are sudden high fever. Older children may complain of headaches, muscle and joint pains, mental depression, and infants may be irritable, restless, and staring. Most skin hemorrhages can be seen in meningococcal meningitis. The explosive type may appear soon after the onset of blood pressure, shock, and large skin ecchymoses. Chronic intravascular coagulation is often complicated.

Neurological manifestations include

Signs of meningeal irritation such as neck resistance, positive Brudzinski sign and Kernig sign, increased intracranial pressure, headache, vomiting, infants have a full anterior fontanelle, children's expression is indifferent, consciousness changes, severe cases of respiratory and circulatory function are affected and even coma, brain herniation occurs; partial or systemic convulsions may occur in -% of children. Meningitis is more common in children with Haemophilus influenzae and Streptococcus pneumoniae. Children without complications usually do not have optic nerve head edema. If present, it indicates that there may be intracranial abscess, subdural empyema, and the manifestations of neonatal meningitis at the onset are similar to sepsis. Full-term children may have fever or temperature fluctuations. Premature children do not have a rise in temperature, apnea, slow heart rate, cyanosis, vomiting, and crying show signs of shock. Neurological manifestations are drowsiness, full or bulging anterior fontanelle, localized or systemic latent convulsions, neck resistance, very rare, with signs of increased intracranial pressure since the onset of the disease

Supervision of treatment of purulent meningitis

Experience with purulent meningitis: If the condition is severe and progresses rapidly, intravenous antibiotic treatment should be used early. When the cerebrospinal fluid bacterial culture is positive, a drug sensitivity test should be performed to select highly lipid-soluble, low-molecular-weight antibiotics that can penetrate the blood-brain barrier and reach a bactericidal level in the cerebrospinal fluid. When mixed medications are not used, attention should be paid to the antagonistic effects of the recommended drugs.

Purulent encephalitis is also very common. It is very common in children. Some infants may also suffer from this disease, which will manifest as apathy and changes in consciousness. Some serious patients may even go into coma. Fever is the most obvious symptom. It should be treated at an early stage to avoid leaving some sequelae.