Flow gills with meningitis, meningoencephalitis What are the clinical manifestations

Flow gills meningitis, meningoencephalitis occurred in the parotid gland swelling after 10 days of illness (65% an 70%). About 25 per cent of the parotid gland swelling and simultaneously, a small number of cases (5% of an 8 per cent) in the parotid gland swelling ago. 3-10 age group to the highest incidence rates (more than 80 percent). Sudden onset, the main symptoms are fever (90% an 95%), headache (85% of a 100%), vomiting (70% an 90%). Some people think that repeated vomiting flow gills merger is the typical symptoms of meningitis. Most patients with vomiting 1-2 days or 3-5 days to stop a small number of people sustainable 10-12 days, if the brain damage, he was accompanied by changes at the same time there are signs of meningitis, may consider meningoencephalitis.
For the main signs of submandibular gland and parotid gland swelling, parotid gland swelling of the mouth, neck resistance, and Clinton's levy Barthel levy positive, a small number of patients, there will be nystagmus, ataxia, and other lower extremity muscle strength decreased.
CSF appearance Qingliang inspection, the pressure was normal or slightly higher, increased leukocyte count, the majority in the 300-500 / mm3, can be even more than 1,000-2,000, early neutral cells increased. From the second disease after, lymphocyte predominance, and sometimes up to 80% of a 100%. Slightly higher protein content, sugar and normal chloride. If the above changes in the parotid gland enlargement before it is easy to give pathogen diagnosis, the virus isolated from the cerebrospinal fluid is the most reliable basis for the diagnosis. In recent years, using enzyme-linked immunosorbent assay detected in cerebrospinal fluid specific immunoglobulin M antibodies can help diagnosis of this disease.
Flow gills of the central nervous system damage, in the early onset flow gills by the virus directly caused. In viremia, on the basis of the virus through the blood-brain barrier damage to the central nervous system. And the damage to viremia is proportional to the degree and duration. Part of meningoencephalitis disease have occurred in the two weeks after a l even a month after the pathogenesis of allergic reaction or may be self-induced immune response.
In order to reduce morbidity and reduce complications, the patient should be isolated early, proper rest, once the nervous system symptoms should take active treatment.