What examination should infantile encephalitis do?

Update Date: 2022-09-16 Source: Network

summary

Encephalitis is an inflammatory disease caused by the invasion of pathogens in brain parenchyma. Most of the causes are viruses, which can also be caused by bacteria, molds, spirochetes, Rickettsia, parasites and other infections. Some may be allergic diseases, such as acute disseminated encephalomyelitis. Let's take a look at the following.

What examination should infantile encephalitis do?

* 1: whether there is visual impairment, optic disc edema, ophthalmoplegia, hearing loss, dysphagia, limb paralysis, pathological reflex, muscle tension change, ataxia, involuntary movements (tremor, choreography, Xu Dong, hand and foot), sensory disturbance, retention of urine, incontinence and meningeal irritation.

Second: general examination: blood, urine routine, ESR, CSF pressure, routine, biochemical, cytological, immunoglobulin (IgG, IgA, IgM) determination and blood mixed rosette rate determination.

Third: the immunological examination of virus infection: using enzyme-linked immunosorbent assay or polymerase chain reaction to detect herpes simplex virus in blood and cerebrospinal fluid. Double serum samples were taken for complement binding test, hemagglutination inhibition test, adenovirus immunofluorescence test and poliovirus neutralization test of Japanese encephalitis, adenovirus, measles virus, poliovirus and influenza virus.

matters needing attention

Encephalitis is an emergency in pediatrics, and the mortality rate is as high as 10% - 30%. Generally speaking, 30% - 50% of the survived newborns will leave neurological sequelae, so early diagnosis and early treatment are particularly important.