Thursday, February 14, 2008

Purulent meningitis-related knowledge

Purulent meningitis is caused by a variety of bacterial meningitis suppurative inflammation. With fever, vomiting, headache, irritability, and with meningeal irritation and meningeal spinal fluid change as the main clinical features. The disease is common in babies infected by the disease. Lead to the disease pathogen species and age-related disease, several freshmen to Escherichia coli, Staphylococcus aureus encephalitis; infants to Streptococcus pneumoniae, Haemophilus influenzae encephalitis3-year-old children were more than Staphylococcus aureus lead to. Most of this rapid onset, severe illness, easily emerge Jingfeng, coma, a higher series of deaths and the incidence of sequelae. [Clinical] 1. E. coli meningitis: a predilection for birth within the last three babies, especially newborns and premature infants susceptible. Bacteria mainly from the mother's birth and infant intestinal Road, umbilical, suffering from abdominal baits are more disease, poor prognosis and mortality high. 2. Haemophilus influenzae meningitis:three months-3-year-old children, many of the autumn. Most of rapid onset, sudden high fever, vomiting, convulsions. Some onset gentler, prior apparent respiratory infection in a few days or 1-2 weeks after meningitis disease, even can see with rash. 3. Streptococcus pneumoniae is a higher incidence of meningitis after meningitis, more common in infants under 1 year of age, and often in the winter and spring seasons in the secondary respiratory inflammation, sepsis or traumatic brain injury, not obvious early stiff neck, the course can be deferred or repeated seizures. Can be complicated by subdural effusion or empyema, brain abscess, such as hydrocephalus, the general condition heavier. 4. Staphylococcus encephalitis: mainly caused by staphylococcus aureus, the incidence of all ages are more occurred in the summer. Often omphalitis, impetigo, cellulitis, and other precursor infection may be associated with pneumonia, lung abscess, liver abscess, suppurative osteomyelitis, and other lesions. Of course, there may be urticaria, scarlet fever rash and pustular lesions such as. Children of different ages have different features, clinical manifestations: 1. Neonates and infants under three months is not a very typical clinical manifestations. High temperature can be low, and even the temperature does not rise, often Antifeedant, vomit milk, lethargy, Ti panic, screams, convulsions and looking Jinghui, the former on existing full or uplift, meningeal irritation appeared late. 2.3, -2-year-old children with fever, vomiting, irritability, Yijiaore, convulsions, mental sluggishness, drowsiness or coma. Stiff neck, the former on existing Penglong, there meningeal irritation. 3,2 children over the age of symptoms and signs typical growing, with the exception of a headache, there are back pain, muscle pain and other joint complaint, meningeal irritation clear.

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