Abstract
Modern features of purulent meningoencephalitis is the frequent development of the disease at adverse premorbid background, the formation of a mixed infection, which leads to severe prolonged duration, the occurrence of complications. For example the medical history of two years old child with acute purulent meningoencephalitis mixed etiology (Str. Pneumoniae, H. influenzae type b), developed on the background of chronic herpes virus infection, rezudual-organic CNS pathology, submitted the algorithm of diagnostic and therapeutic measures in these cohort of patients.
Highlights
Modern features of purulent meningoencephalitis is the frequent development of the disease at adverse premorbid background, the formation of a mixed infection, which leads to severe prolonged duration, the occurrence of complications
Одной из современных особенностей инфекционной патологии у детей является частое формирование смешанной инфекции, что ведет к модификации симптоматики, возрастанию тяжести заболевания, формированию затяжного течения, повышению летальности
В этих условиях заражение ребенка двумя достаточно агрессивными микробами — пневмококком и Hib — привело к формированию инвазивной инфекции с бактериемией, проникновением возбудителей в мягкие мозговые оболочки и вещество головного мозга
Summary
Modern features of purulent meningoencephalitis is the frequent development of the disease at adverse premorbid background, the formation of a mixed infection, which leads to severe prolonged duration, the occurrence of complications. For example the medical history of two years old child with acute purulent meningoencephalitis mixed etiology (Str. Pneumoniae, H. influenzae type b), developed on the background of chronic herpes virus infection, rezudual-organic CNS pathology, submitted the algorithm of diagnostic and therapeutic measures in these cohort of patients. Контактная информация: Симованьян Эмма Никитична — профессор, заведующая кафедрой детских инфекционных болезней, Ростовский государственный медицинский университет; 344022, Ростов-на-Дону, Нахичеванский 29; (863) 232-73-58; detinfrostov@gmail.com Simovanyan Emma Nikitichna — Professor, Head of the Department of Pediatric Infectious Diseases, Rostov on Don State Medical University; Russian Federation, 344022, Rostov-on-Don, Nakhichevansky 29; tel.
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