Flow gills with meningitis, meningoencephalitis What are the clinical manifestations

Flow gills meningitis, meningoencephalitis will occur in the parotid gland swelling after 10 days disease (65% 1 70%). About 25% of patients with parotid gland swelling simultaneously, A small number of cases (5% 1 8%) in the gills swollen ago. The 3-10 age group the highest incidence rates (80 percent and above). Onset Suddenly, the main symptoms are fever (90% 1 95%), headache (85% of a 100%), vomiting (70% 1 90%). Some people think that repeated vomiting flow gills merger is the typical symptoms of meningitis. The majority of patients with vomiting 1-2 days or 3-5 days on end, the minority sustainable 10-12 days, if the brain damage, he was associated with change, while meningitis symptoms, may consider meningoencephalitis.
The main signs for the submandibular gland and parotid gland swelling, redness mouth of the parotid gland, neck resistance, Clinton on the levy and Barthel levy positive, a small number of patients, there will be the nystagmus, ataxia, and other lower extremity muscle strength decreased.
Examination of cerebrospinal fluid appearance Qingliang, normal or slightly higher pressure, the higher number of leukocytes, mostly in 300-500 / mm3, dual may exceed 1,000-2,000, early neutral cells increased. After the second disease to lymphocyte predominance, and sometimes up to 80 percent a hundred percent. Slightly higher protein content, sugar and chloride normal. If the above changes in the parotid gland swelling before it is easy to give pathogen diagnosis, the virus was isolated from the cerebrospinal fluid of the most reliable diagnosis. In recent years, using enzyme-linked immunosorbent assay of cerebrospinal fluid was detected specific immunoglobulin M antibodies can help diagnosis of this disease.
Flow gills of central nervous system damage, in the early onset flow gills by the virus directly caused. Hyperbilirubinemia in the virus on the basis of the virus through the blood-brain barrier damage to the central nervous system. The occurrence of the harm the opportunities and viremia is proportional to the degree and duration. Part of meningoencephalitis after the disease has occurred in 1 1 two weeks or even one month after its pathogenesis of allergic reaction or may be nerve caused by autoimmune response.
In order to reduce morbidity and reduce complications, the patient should be early isolation, proper rest, once the nervous system symptoms should take active treatment measures.