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Flow mumps meningitis. meningoencephalitis disease occurred in the parotid gland swelling after 10 days (65% 1 70%). About 25% of patients with parotid gland swelling simultaneously, a small number of patients (8% 5% 1) in the parotid swelling ago. 3-10 age group with the highest incidence (80%). Sudden onset, the main symptoms of fever (90% 1 95%), headache (85% 100% 1) vomiting (70% 1 90%). Some people think that is repeated vomiting flow gills with typical symptoms of meningitis. Most patients stop vomiting 1-2 days or 3-5 days, 10-12 days sustainable minority. If the brain damage associated with altered consciousness, while meningitis symptoms can be considered as meningoencephalitis.
11 to submandibular gland and parotid gland swelling, redness parotid glands mouth, neck resistance. Clinton's levy and the levy was Pakistan's minority patients may be nystagmus, ataxia, and muscle strength decline, etc..
Cerebrospinal fluid appearance crystal, normal or slightly higher pressure, higher WBC. Most 300-500/ cubic millimeters, even over 1000-2000, early neutral cells. From the Second Day, mainly lymphocytes, sometimes up to a 80% to 100%. Higher protein content, sugar content and chlorides normal. If the above changes in the diagnosis of parotid swelling of the former can not make any pathogens, viruses isolated from the cerebrospinal fluid is the most reliable diagnosis. In recent years, the use of enzyme-linked immunosorbent assay was used to detect specific IgM antibody in cerebrospinal fluid may help diagnose this disease.
Flow gills of central nervous system damage in the early onset mumps virus is directly caused by the flow. In viremia based on the virus through the blood-brain barrier damage to the central nervous system. The injury occurred with the extent and duration of viremia in proportion. Meningoencephalitis have occurred in some patients after a two-week or even one month later, pathogenesis of autoimmune response may be due to nerve or allergic reaction.
To reduce the incidence rate of complications, the patient should be isolated early, proper rest, Once the nervous system symptoms should take active measures.
This article was posted on 2007-02-27
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