Encephalitis
Encephalitis in an acute inflammation of the brain. Caused by herpes simplex virus, encephalitis causes cerebral edema thereby destroying nerve cells. This may lead to bleeding in the brain and brain damage. Encephalitis is often caused by the virus that causes mumps, measles, rabies, polio and rubella. Symptoms of encephalitis may begin with a stomach infection, headache and fever. It can also manifest in vomiting, drowsiness and clumsy gait. Severe headache and muscle paralysis or loss of consciousness are severe symptoms.
Brain MRI and CT scan of the head might be necessary to diagnose encephalitis. Serology tests and lumbar puncture and CSF examination might be done. Examination of the patient might show increased intracranial pressure, abnormal reflexes and mental confusion. The patient is given nutrition through fluids and anti-viral medicines such as acyclovir and foscarnet. Anti-seizures might be given. Antibiotics are prescribed in case the infection is caused by bacteria.
Paroxysm
Paroxysm refers to sudden fit or outbursts. These paroxymal attacks are short and usually frequent. Paroxymal attacks are associated with pertussis, encephalitis, heat trauma, multiple sclerosis and epilepsy. A paroxysm is most often triggered by anxiety, neck flexion and anger. Rubella
Rubella or German Measles is caused by the rubella virus. It is different from measles in that it primarily affects the skin and lymph nodes. In rare cases, rubella can lead to arthritis, encephalitis, myocarditis and thrombocytopenia. Rubella or German measles can have serious repurcussions on a pregnant woman since it affect the developing fetus. It can lead to growth and mental retardation as well as malformation of the eyes and heart.
Rubella manifests in symptoms such as fever and swollen tender lymph nodes. There is rash that appears all over the body. The rashes are light pink patches that last about 3 days. A patient suffering from rubella suffers headache, loss of appetite and runny nose. There might be mild conjunctivitis. Often pain and swelling is noticed in the joints.
A virus culture helps in detecting the type of rubella antibodies in the blood. Paracetamol or ibuprofen can reduce pain and fever. Rubella is usually self-limiting and lasts for about 2- 3 weeks. There is no treatment for this disease. Rubella vaccine is part of the MMR immunization scheduled for children. A second dose is recommended again around 4 - 6 years.
Bibliography / Reference
| 