ECM can be divided into several clinical -

ECM differences in the severity of larger clinical generally can be divided into the following type.
(1) light: fever patients with no more than 39 ℃, no hemorrhagic rash (bleeding), or only a few, mild headache and meningeal irritation symptoms after treatment, or even without the treatment, or as the flu treatment and speedy recovery.
(2) ordinary type: ECM with the typical symptoms, patients with sudden fever, the temperature reached 40 ℃, accompanied by headache, nausea and vomiting, skin bleeding, and in 1-2 days, apparent symptoms of meningeal irritation, but he was still quite clear and it is not in coma, sleepiness can be a performance. Breathing, pulse and blood pressure normal.
(3) fulminant: most of this type, which includes the shock type, meningoencephalitis and mixed three kinds. Shock-about 2 per cent of patients with meningitis, mainly in the 1-5 years old children, especially under the age of 2, adults rarely happens. Shock is the main clinical manifestations, blood pressure dropped even could not be determined, also feel no pulse. Bleeding skin rapidly increasing, and integration into large plaque deposition. Clearly he was still quite early, late to be able to enter a coma. Meningoencephalitis have mainly occurred in the type of child care, the incidence rate of less than shock. Intracranial hypertension in patients with major performance, brain edema and cerebral hernia symptoms, it is prone to respiratory failure and death. Mixed performance at the same time for a serious shock symptoms and intracranial hypertension, and shock-type symptoms of meningoencephalitis, at the same time in patients with a body, and its most precarious condition, the worst prognosis.
(4) chronic type meningococcal sepsis: rare in adults, and deferred months, the blood culture or siltation can smear bacteria.
ECM points on the heavy-named, that is, fulminant ECM, in recent years there have been new formulation. In June 1986 the first national clinical experience severe ECM raised at the exchange, with a diagnosis of severe ECM named. Severe ECM definition: Where meningococcus infection, shock, disseminated intravascular coagulation, or herniation of increased intracranial pressure, respiratory distress syndrome or severe renal failure and other symptoms, should be diagnosed as severe flow brain.