Friday, March 21, 2008

ECM of fulminant clinical manifestations!

Outbreaks of meningitis is epidemic cerebrospinal meningitis (ECM) one of the clinical types, It has the following features:
1. Susceptible group set no age fulminant ECM was particularly prevalent in children. Generally considered 6 months to 2-year-old infant was the most susceptible group ECM, the greater the age, the lower the incidence rate. However, the death of children 1 1 year, which gives us a warning: more children is still hard to get out of this dangerous disease threats.
2. Onset of intense, rapid development first general Meningococcal invasive upper respiratory tract, 1 to 2 days into the blood circulation, to 1 to the 2nd invasive cerebral spinal system, and outbreaks of meningitis incidence virtually no upper respiratory tract infection symptoms, or shorter within that time there sepsis and / or meningitis performance quickly severe period, life-threatening.   
3. Dangerous conditions, the return of the crisis in accordance with its vicious clinical performance is divided into three types: (1) of septic shock, circulatory failure to rapidly emerging as features, performance for sudden high fever, chills and looking pale, Jueling limbs, lips fingertip cyanosis, fine-speed pulse, blood pressure decreased significantly or unable to detect, oliguria or no urine. Skin stasis,rapidly increasing integration into tablets; visceral bleeding even adrenal lesions have occurred widely disseminated intravascular coagulation, the patient quickly failure. (2) meningoencephalitis-to-severe intracranial hypertension - oriented features, performance for severe headache, and frequent and severe vomiting, elevated blood pressure, pulse slow strong, sustained or repeated seizures, quickly fell into a coma. (3) hybrid combination of the above two types of performance is a condition of the heaviest mortality high. Even if the application of antibiotics, and it is still 10 percent above mortality.

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