This is often accompanied by bulbar dysarthria syndrome, dysphagia and language atrophy. His fever’s dropping by five or seven days.
This is often accompanied by bulbar dysarthria syndrome, dysphagia and language atrophy. His fever’s dropping by five or seven days.
At the end of the second week there is a period of reconnaissance, which can have different duration.
In some cases, the restoration of motor functions may be complete, in others, a severe disability remains: more often, weaknesses and atrophy persist in the muscles of the neck, shoulder belt, proximal arms.
2. Meningeal form
It is a serous meningitis caused by tick-borne encephalitis virus.
Meningeal symptoms in this form occur early - from the 1st day of the disease against the background of fever, intense headache, vomiting.
Characteristic combination of brain and center neurological symptoms: pareses, lesions of cranial nerves, hyperkinesis. Later on, the skin epilepsy may develop (permanent myoclonic twitches in certain muscle groups, on the background of which intermittently generalized seizures occur).
The reliable cases of the proredient current of tick-borne encephalitis are described, when after a certain time (from several months to several years) after the acute phase, the severity of flaccid paralysis increases. This variant of tick-borne encephalitis is little known.
diagnosis
Endemic data (stay of the patient in the epidemic center of infection in spring-summer period).
It is extremely important to have a history of tick bite. In paralytic forms, diagnosis of encephalitis is based on a specific clinical picture.
The diagnosis is specified according to the results of serological reactions (RSK, neutralization reactions and RTGA).
RSK has been positive since the 2nd week of the disease, and the neutralization reaction since the 8th-9th week.
The most rapid diagnosis of tick-borne encephalitis is the fluorescent antibody method.
treatment
There is no etiotropic treatment.
Symptomatic and detoxification therapy, maintenance of water-electrolyte balance is crucial.
Early rehabilitation therapy is shown.
prevention
Vaccination of tissue inactivated vaccine plays a leading role.
The vaccine is injected 1 ml subcutaneously 3 times in the autumn period, then once in the spring with subsequent annual revaccination. Persons subjected to bites are injected with an antitick gamma globulin (3 ml for adults, 2 ml for children 10-15 years old) intramuscularly).
