Infectious diseases

Acute purulent meningitis

Under acute purulent meningitis refers to the occurrence of purulent inflammation of the meninges.The incubation period of the disease can vary from 1 to 5 days.The development of acute purulent meningitis, acute, there is a strong fever, there is an increase in body temperature to 39-40 ° C.Acute purulent meningitis - a rather serious disease, for which the need for timely and correct treatment.

Symptoms of acute purulent meningitis

Symptoms of acute purulent meningitis include:

  • increase in intense headache;
  • of nausea or repeated vomiting;
  • development of delirium;
  • emergence of agitation;
  • occurrence of seizures;
  • development of human consciousness.

In the first hours can be found shell symptoms, which are understood as the symptom Kernig, neck stiffness of muscles, which are characterized by an increase in 2-3-th day of illness.When the disease is marked revival of deep reflexes and decreased abdominal.In severe cases, the disease can be affected by cranial nerves, especially 3 or 4 pairs (a

nisocoria, ptosis, diplopia, strabismus), some at least - 7 and 8 pairs.In the 2-5 th day of the disease on the lips may appear herpes.

In some cases, may cause a variety of skin rashes (more children), wearing a hemorrhagic character that indicates meningococcemia.It is noted the presence of turbid, purulent, cerebrospinal fluid flowing pressurized.It is noted the appearance of neutrophilic pleocytosis, low levels of chloride and sugar, high protein content.

the expression of clinical symptoms allocated mild, moderate and severe forms of meningitis.Along with the defeat of the meninges in the process may be involved and the medulla, which is already apparent from the first days of illness of seizures, impaired consciousness, paresis with mild symptoms.Perhaps the development of visual and auditory hallucinations, and in the future - memory disorders and behavior.In addition, there may be hyperkinesia, increased muscle tone, ataxia, sleep disturbances, nystagmus and other symptoms of brainstem.Then diagnosed meningoencephalitis, which is characterized by severe and poor prognosis, especially if showing signs of ependimatita (ventriculitis).

treatment of purulent meningitis

in purulent meningitis must be treated quickly and clearly.Usually, the patient is hospitalized.Appointed specific and symptomatic therapy.Antibiotics provided after lumbar puncture and collection of material to carry out bacteriological tests and to determine the sensitivity of microflora.The basis of the general principle of treatment of purulent meningitis is the creation of "antibiotic protection."In this regard, there is a need to desire as soon as possible to establish a diagnosis and begin treatment with antibiotics.Not in all cases known to a particular pathogen, and so it takes some time to determine if they lose that, it may have serious consequences.Before the results will be obtained bacteriological research, conducted empirical antibiotic therapy.The drug is chosen so that it is well penetrated the BBB and has an impact on those pathogens that are the most likely in the clinical situation and age.

prevention of acute purulent meningitis

In the prevention of acute purulent meningitis require all persons who were in close contact with the patient.If the health worker did not make mouth-to-mouth, there is no need for chemoprophylaxis.In order to prevent purulent meningitis involves the use of rifampicin or ciprofloxacin.Pregnant women and children under 2 years of age is assigned to ceftriaxone.Performing chemoprophylaxis shown mothers who have a child in addition to the sick aged up to 2 years.If meningitis was caused by Haemophilus influenzae, if a family has a child younger than 2 years, it is also recommended chemoprophylaxis with rifampicin.