Will encephalitis leave sequelae?

Patient's question:

On the sixth night after giving birth, only fever was present, with no other symptoms. Previous treatment and outcomes: On the eighth day after giving birth, 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 Eastern encephalitis, is a natural focal acute central nervous system infectious disease caused by the Lyme encephalitis virus transmitted through hard ticks. The clinical diagnostic features include sudden high fever, impaired consciousness, headache, nuchal rigidity, and collapse of the upper limbs, neck, and scapular muscles, with post-infection sequelae being common. Treatment generally involves symptomatic management: nursing care, fever reduction, anticonvulsants, and respiratory failure management, which can be compared 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 (20–40 ml administered intramuscularly) or intraspinal anesthesia (5–10 ml). High-titer autologous immunoglobulin (6–9 ml daily intramuscularly) should be administered until the body temperature drops below 38°C, after which it should be 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 any sequelae. Wishing you a speedy recovery!

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