Patient's question:
On the sixth night after childbirth, only fever was present, with no other symptoms. Previous treatment and outcomes: On the eighth day after childbirth, it was confirmed to be purulent meningitis. Vancomycin and ampicillin were used for anti-inflammatory treatment, and the fever subsided smoothly, resolving without further fever. What kind of assistance is needed: ...Doctor's answer:
Lyme encephalitis, also known as Soviet spring-summer encephalitis or Far East encephalitis, is a natural focal acute central nervous system infectious disease caused by the Lyme encephalitis virus transmitted through ticks. The clinical diagnostic features include sudden high fever, impaired consciousness, headache, neck stiffness, and collapse of the upper limbs, neck, and scapular muscles, with sequelae being common. Treatment generally involves symptomatic management: nursing care, fever reduction, anticonvulsants, and respiratory failure management, which are comparable to the treatment for Japanese encephalitis.Autologous immunotherapy: Serum therapy can be used for patients within 3 days of onset, using serum from convalescent patients or individuals who have stayed in forest areas for ten or more years, with a dose of 20–40 ml administered intramuscularly, or intraspinal anesthesia with 5–10 ml. High-titer autologous immunoglobulin is administered intramuscularly at a daily dose of 6–9 ml until the body temperature drops below 38°C, after which it is discontinued. Interferon, transfer factor, autologous ribonucleic acid, and ribonuclease can be used as needed.
After general symptomatic treatment, the condition can often resolve clinically on its own without leaving sequelae. Wishing you a speedy recovery!