Purulent inflammation of the membranes and brain tissue belongs to the most severe forms of infecti

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Purulent inflammation of the membranes and brain tissue belongs to the most severe forms of infectious diseases. Among these diseases is the main place meningitis - inflammation

of the soft and arachnoid accumulation of fluid in the subarachnoid pur water filter light not working space and the ventricular system.
Meningococcal disease is widespread in the population and manifests different clinical forms - from asymptomatic carriage to severe generalized forms. Localized forms are the most dangerous in epidemiological terms, but they are rarely diagnosed. In contrast, much less epidemiological importance with generalized forms such as meningococcal septicemia, meningococcal meningitis, or a combination thereof. They provide the highest mortality in the absence of treatment of 85%, and even when adequate medical care - 5.10%.

About 80% of primary purulent meningitis with meningococcus etiology. Meningococcal disease often occurs as epidemic outbreaks, mainly in winter and spring. In a dynamic pur water filter light not working multi-point cyclic incidence rises with an interval of 10-20 years. The last epidemic of meningococcal disease ended in the mid-80 th century. Now observe another increase in the incidence of Ukraine. Diagnosis of Meningitis
The diagnosis of meningitis

is set on the basis of clinical manifestations of meningeal symptoms and inflammatory pur water filter light not working changes in the cerebrospinal fluid. Condition when there are meningeal symptoms, but the composition of cerebrospinal pur water filter light not working fluid is not changed, called meninhizmom. The latter is quite common in various intoxications and / or communicable diseases and is due to irritation of the meninges, not a true inflammation in them.
In purulent meningitis in cerebrospinal fluid exhibit predominantly neutrophilic pleocytosis. For serous

meningitis is characterized by the predominance in the CSF lymphocytes pur water filter light not working - lymphocytic pleocytosis. The latter, in some cases it may also occur in purulent meningitis, but only in the first hours and days of illness.
Pathomorphological manifestations pur water filter light not working of purulent meningitis: inflammation and swelling of the meninges and adjacent brain tissue, pur water filter light not working increased intracranial pressure and cerebral edema,

hypersecretion of CSF and delay its resorption; dystsyrkulyatsiya vessels in the brain and membranes, irritated membranes and roots of the cranial and spinal nerves.
It should be noted that all patients with purulent meningitis pur water filter light not working present

disturbance of consciousness of varying severity, high intracranial hypertension, symptoms of dislocation structures of the brain. Edema - swelling of the brain (NNHM) is associated with the development of local inflammatory reactions and damage to the formation of interstitial capillaries (vasogenic) edema (Figure). pur water filter light not working
TABLE 1. Criteria for clinical laboratory diagnostics stages NNHM syndrome symptoms (criteria) prekomy and II (beginning of NNHM) Second stage (marked edema) stage III (swelling of the dislocation) Consciousness stun, lethargy, agitation, delirium and coma Coma II-III response to No irritation No saved Tremor clonic seizures generalized seizures Tonic seizures with gradual fading of color of skin or redness Purple Plain, at least - pallor Pallor Cyanosis, acrocyanosis not typical diffuse acrocyanosis cyanosis, sometimes "marbling" not altered pur water filter light not working

muscle tone increased, sometimes pur water filter light not working significantly pur water filter light not working Progressive Reflexes reduced Elevated High, Low possible asymmetry, the transition to arefleksiya kornealny reflex Normal or low fade No photoreaction pupils Live Lowered, No lifeless shell syndrome * Expressive Expressive may fade progressively fading frequency and type of respiration moderate dyspnea tachypnea, arrhythmias Bradypnoe, "pathological" Heart rate stable tachycardia Cutting tachycardia, labile pulse Brad-or tachyarrhythmia pur water filter light not working Blood pressure usually pur water filter light not working increased increased, at least - hypotension Hypotension glucose in the blood of normal or elevated Always hyperglycemia PO 2 Normal - RDF 2 Normal - Normal blood pH Respiratory alkalosis Increased cerebrospinal fluid pressure pur water filter light not working usually
2. Shell (meningeal) syndrome - a syndrome of irritation of the meninges due to inflammation, toxic substances, degradation products of red blood cells and others. It consists of a cerebral pur water filter light not working (headache, impaired consciousness, vomiting, seizures, psychomotor agitation) and the actual symptoms of shell or 'meningeal signs' (hyper - General and sense organs, muscle tonic tension: stiff neck, long m 'back muscles, symptoms Kernig, upper, middle and lower symptoms Brudzinskogo; reactive phenomena pain: symptom beh