What is fulminant encephalitis, and what should be done about it?
Aug 04, 2023
Source: Cainiu Health
Dr. Yang Jun
Introduction
Encephalitis with fulminant onset likely refers to purulent meningitis, which is caused by infection with pyogenic bacteria such as Escherichia coli, Staphylococcus aureus, and Listeria. It can be managed through three approaches: general supportive care, pharmacological treatment, and surgical intervention. Patients are advised to seek timely medical attention when experiencing symptoms and to receive standardized treatment under the guidance of a physician, which facilitates recovery.
Explosive encephalitis likely refers to purulent meningitis, which is caused by infection with pyogenic bacteria such as Escherichia coli, Staphylococcus aureus, and Listeria. It can be managed through three approaches: general treatment, drug therapy, and surgical treatment. Specific details are as follows:
1. General Treatment
Purulent meningitis may cause breathing difficulties in patients, so timely oxygen therapy should be administered. Appropriate fluid replacement is also necessary to maintain water and electrolyte balance and prevent worsening of the condition.
2. Drug Therapy
Medications such as ampicillin sodium and cloxacillin sodium for injection, or ceftriaxone sodium and sulbactam sodium for injection, should generally be used promptly as directed by a physician to eliminate the pyogenic bacteria quickly and relieve symptoms. If severe intracranial hypertension occurs, medications such as mannitol injection or furosemide injection should also be administered under medical guidance to reduce intracranial pressure.
3. Surgical Treatment
If subdural fluid accumulation is present, puncture drainage is usually required. If puncture proves ineffective, surgical intervention may be needed for proper drainage.
Patients are advised to seek prompt medical attention when experiencing discomfort and to receive standardized treatment under a doctor's guidance, which helps promote recovery.
