Monday, March 31, 2008

Fulminant clinical manifestations ECM

ECM is an outbreak of epidemic cerebrospinal meningitis (ECM) of one type, which is characterized by the following:
1. Susceptible population age without the outbreak of meningitis more common in children. Generally believed that six months to two-year-old infants to ECM the most susceptible population, the greater the age, the lower the incidence rate. However, the death of children 1 1-year-old, and this gives us a warning: older children still hard to get out of this dangerous disease threats.
2. Onset of intense, rapid development of the general meningococcal first penetrated the upper respiratory tract, 1 to 2 days into the blood circulation, to 1 to the 2nd invasive cerebral spinal systems, and the outbreak of meningitis disease virtually no upper respiratory tract infection symptoms, or shorter Sepsis is a time and / or meningitis performance quickly period of severe life-threatening.
3. Dangerous condition, the return of the crisis in accordance with its dangerous clinical performance is divided into three types: (1) of septic shock, circulatory failure to rapidly emerging features performance for sudden high fever, chills, looking pale and Jueling limbs, lips fingertip cyanosis, pulse fine speed, decreased blood pressure measured or not, oliguria or urine. Stasis skin, Yuban rapidly increasing integration into tablets; even visceral adrenal hemorrhage disease also occurred widely disseminated intravascular coagulation, the patient quickly failure. (2) meningoencephalitis-to-severe intracranial hypertension characteristics showed severe headache, frequent and violent 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 most of the mortality rate high. Even if the application of antibiotics, and it is still more than 10% mortality.

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