Question
A 1-year and 2-month-old boy started experiencing a cold and fever on June 18th, with temperatures reaching up to 39 degrees. After medication, he showed some improvement. However, on June 22nd in the morning, he had a fever again, reaching 38.3 degrees, accompanied by listlessness and seizures. After receiving ibuprofen for cooling (to lower the temperature) and sedation treatment, his condition improved. Upon admission, he underwent treatment with ceftriaxone sodium (Roxithromycin), Reheat Ning, Bromhexine, and other medications, along with an electroencephalogram (EEG) which was normal. The next morning on June 23rd, after blood collection, his condition was general but he became listless in the afternoon and was readmitted. He still has a fever, intermittent temperatures below 38 degrees, is in a drowsy state, responds to stimuli, and has had four seizures. After seven days of hospitalization, he was transferred to the pediatric ward of Jinan Qilu Hospital. Currently, he is awake but unconscious and anxious. How is the treatment for viral encephalitis?
Answer
Viral encephalitis currently has no specific treatment method; it primarily involves symptomatic treatment, supportive care, and prevention of complications. For those with severe headaches, painkillers can be used; mannitol can be appropriately administered for brain edema. For different viruses such as herpes simplex virus and Epstein-Barr virus, acyclovir can be used; ganciclovir is used for cytomegalovirus encephalitis. Additionally, for obvious seizures and coma, Beijing Tongren Tang’s An Gong Niuhuang Wan can be used in conjunction to improve neurological function. With the above symptomatic treatments, there is still a possibility of gradual recovery of the condition.