Question
On the 6th night postpartum, there was only a feeling of fever, no other symptoms. Previous treatment and outcomes: On the 8th day postpartum, it was confirmed to be purulent meningitis, treated with vancomycin and amoxicillin for anti-inflammatory purposes, fever subsided smoothly, and there was no more fever. Desired assistance:…
Answer
Forest encephalitis, also known as Soviet Spring-Summer encephalitis or Far Eastern encephalitis, is an acute central nervous system infectious disease caused by the forest encephalitis virus transmitted by ticks. Clinical diagnosis features include sudden high fever, consciousness disorders, headache, neck stiffness, and collapse of upper limb and cervical as well as scapular muscles, with long-term complications being common. Treatment generally involves symptomatic care: nursing care, temperature reduction, anticonvulsants, and respiratory failure solutions that can be comparable to the treatment for Japanese encephalitis. Active immunotherapy includes serum therapy, where patients within 3 days of onset can be treated with serum from convalescent patients or those who have lived in forested areas for more than ten years, administered intramuscularly in doses of 20-40 ml. High-titer active immunoglobulin G can be administered intramuscularly at a dose of 6-9 ml per day until body temperature drops below 38°C. Interferons, transfer factors, and ribonucleic acid and ribonuclease can be used as appropriate. Generally, after symptomatic suppression treatment, patients can recover beyond clinical diagnosis without leaving any long-term complications. Wishing for a quick recovery!