What is the best medicine for encephalitis?

Encephalitis is divided into bacterial and viral types. So no matter which type of meningitis you have, you should first conduct a specific examination and then use medication to treat it in time. The more common ones include tranquilizers such as phenytoin sodium. Anti-inflammatory treatment should be carried out in time to prevent cerebral edema and intracranial hypertension. In addition, the temperature should be reduced in time to improve the microcirculation of the brain. There are many drugs in this regard.

What is the best medicine for encephalitis?

Drug 1: Actively control convulsions: Diazepam 0.3-0.5 mg/kg each time, intravenous injection, or phenytoin sodium loading dose can be given. Patients with frequent convulsions or status convulsus should be given a maintenance dose of anticonvulsants after the convulsions stop, such as phenobarbital 3-5 mg/kg per day, or carbamazepine 15-20 mg/kg per day.

Drug 2: Control cerebral edema and intracranial hypertension: daily fluid intake should be controlled at 800-1200ml/m2. Mannitol can be given at a dose of 0.5 to 1 g/kg per time by intravenous injection. Or furosemide once every 4 to 8 hours, 1 to 2 mg/kg each time, 1 to 3 times a day. For patients with severe cerebral edema and intracranial pressure or at risk of brain herniation, adrenal corticosteroids can be used for a short period of time.

Drug three: The treatment is mainly symptomatic, such as reducing fever, stopping convulsions, reducing intracranial pressure, improving cerebral microcirculation, and rescuing respiratory and circulatory failure. In the acute phase, intravenous infusion of dexamethasone can be used, and the course of treatment should not exceed two weeks. Ribavirin is often used for antiviral treatment, and acyclovir can be used for malarial encephalitis. Infuse brain cell nourishing drugs to promote brain function recovery.

Differential diagnosis of meningitis in children

1. The most easily confused type of purulent meningitis is Haemophilus influenzae meningitis.

2. Viral central nervous system infections are mainly viral encephalitis. Viral meningoencephalitis and viral myelitis can all be confused with tuberculous encephalitis. Among them, sporadic viral encephalitis requires more differentiation than epidemic ones.

3. The clinical manifestations, chronic course and cerebrospinal fluid changes of cryptococcal meningoencephalitis may be similar to tuberculous meningitis, but the course of the disease is longer and may be accompanied by spontaneous remission. The symptoms of chronic progressive intracranial hypertension are more prominent and are not equal to other manifestations of meningitis. This disease is less common in children and is easily misdiagnosed as tuberculous encephalitis.

4. Brain abscess Children with brain abscess often have a history of otitis media or head trauma, sometimes secondary to sepsis. Often accompanied by congenital heart disease. Children with brain abscesses often have focal brain signs in addition to symptoms of meningitis and increased intracranial pressure.