JE (Japanese Encephalitis) and ECM (Epidemic encephalomyelitis) Although the central nervous system are infectious diseases,Clinical manifestations there are also some similarities, but they are two different diseases.
First, meningococcal meningitis is caused, by the carriers or patients infected by respiratory droplets. JE is caused by the Japanese encephalitis virus, the virus through mosquitoes first in livestock (such as David pigs, horses, cows, etc.) in the transmission, and then to humans.
ECM popular in the late winter each, the Spring Festival prevalence decreased significantly to the early summer, seasonal stringent than JE. JE epidemic is strictly seasonal, mostly in the summer and early autumn.
Both diseases have begun onset fever, headache, nausea and vomiting, typical patients can have sleepiness, convulsions, coma, and so on.
But no Japanese encephalitis patients bacteremia period, no skin deposition, also a shock to quickly rare. Although two patients with severe intracranial hypertension may occur all the hazards symptoms, but not JE disease progression as rapid as ECM.
ECM general course for 7 to 10 days or so, the recovery often the nose and mouth from around herpes, and JE course by two weeks, about to enter recovery, even in the incidence six months later is still left over from the nerves, mental symptoms.
This was followed by two test results of cerebrospinal fluid there are also many different. ECM in the cerebrospinal fluid smear or culture can be found meningococcus, cerebrospinal fluid turbidity as, like, interleukin few and protein were higher, while sugar and chloride decreased JE clarification or the micro-CSF was mixed, and the number of leukocytes only mildly higher protein, sugar and chloride normal.
Finally, the ECM can be used antibiotics (such as penicillin) infection control, and is due to JE virus does not have any special treatment.
Saturday, February 23, 2008
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