Symptoms of tuberculous meningitis in children?
summary
Tuberculous meningitis is the most serious type of tuberculosis in children. It often occurs within one year after the primary infection, especially within 3-6 months after the initial infection. More common in infants under 3 years old, children with tuberculous meningitis symptoms? Next, I'd like to share my views with you.
Symptoms of tuberculous meningitis in children?
Early (prodromal) 1-2 weeks, the main symptoms of children's personality changes, such as less speech, lazy, easy to tired, irritable, irritable and so on. May have fever, anorexia, night sweats, emaciation, vomiting, constipation (infants can be diarrhea) and so on. Older children may complain of headache, mostly mild or non persistent, while infants show frowning, frowning, or staring, drowsiness, or developmental retardation.
In the middle stage (meningeal stimulation period), severe headache, jet vomiting, drowsiness or restlessness, convulsion, etc. were caused by increased intracranial pressure. There were obvious meningeal irritation, neck rigidity, and positive signs of Kenig and bruzinski.
In the late stage (coma stage), the above symptoms gradually worsened, from unconsciousness, semi coma to coma. Clonic or tonic seizures occur frequently. The child was extremely emaciated with a boat shaped abdomen. Metabolic disorder of water and electrolyte often occurs. Finally, the brain hernia caused by the sharp increase of intracranial pressure resulted in the paralysis of respiratory and cardiovascular motor center and died.
matters needing attention
1. Strengthen exercise, strengthen physique, keep optimistic, moderate work and rest, make healthy and vigorous, reduce the incidence of disease. 2. Active treatment of primary tuberculosis, complete removal of tuberculosis lesions, to prevent secondary infection. 3. Vaccination: inoculation of BCG not only prevents tuberculosis, but also increases the incidence rate of tuberculous meningitis by inoculation of BCG during the neonatal period.
