However, SE Ganzburg 26% of patients in the first 4-6 days of illness observed neutrophilic pleocytosis. The sugar content is usually normal. Cases of mumps meningitis occur without encephalitic symptoms, always ends in recovery in 10-15 days. Changes in cerebrospinal fluid last longer clinical symptoms of meningitis and disappear only after 3-4 weeks of onset of the disease, sometimes they persist for 2-3 months. Acute serous meningitis in mumps based on a simultaneous or prior injury parotid glands, as well as the availability of contact with mumps patients.
Methods of laboratory diagnosis. Valuable study on the diastasis. Serous meningitis caused by Coxsackie virus and ECHO. Etiology. Coxsackie viruses are divided into two groups – A and B, each of which distinguishes between a number of serotypes. ECHO viruses are divided into several serotypes. Diseases caused by these viruses are highly contagious. More common in children.
Virus extracted from feces and nasopharyngeal wash the sick and infected with HIV, which indicates the possibility of both gastrointestinal and air-borne route of infection. Often, the virus can be isolated from healthy individuals and, especially in areas of infection (40%). Disease observed mainly in summer and autumn. Clinic. The incubation period is 3-7 days. The disease begins suddenly. Prodrome is rare. The temperature immediately rises to high numbers, concerns a severe headache and vomiting. As a rule, there is flushing of the skin, especially face, injection of sclera. Often with meningitis caused by viruses ECHO, 1-2nd day of illness appear ephemeral, fast disappearing polymorphic rash. In the early days disease may occur pain in the throat and stomach. Early in the meningeal symptoms are detected. Characteristic is the discrepancy between the severity of meningeal symptoms and likvorologicheskimi data. The latter, as Typically, evidence of the inflammatory process, whereas the meningeal symptoms are less pronounced or even absent. Focal lesions of the nervous system are easy and often as ephemeral (nystagmus, paresis cranial nerves, and expansion of the area asymmetry of tendon reflexes, the appearance of pathological reflexes).