Pediatric tussah pupal encephalopathy syndrome

Introduction

Introduction to filaria sputum encephalopathy syndrome in children Tussah sputum encephalopathy syndrome is a central nervous system allergic disease that was discovered in China in the 1980s due to consumption of tussah pupa. It is a syndrome of central nervous system involving the extrapyramidal and cerebellum. The symptoms are characterized by dizziness, vomiting, muscle tremors, flushing, gait, disturbance of consciousness, minor or aphasia, nystagmus, increased muscle tone, and positive pyramidal tract sign. basic knowledge The proportion of illness: 0.0002% Susceptible people: children Mode of infection: non-infectious Complications: nystagmus

Cause

The cause of sputum sputum encephalopathy syndrome in children

Cause:

According to the relevant inspections, it is not the deterioration of the tussah barrels, nor the contamination caused by the pesticides in the cockroaches. It is related to the quality of the body. Because there are only a few people or dozens of people with the same eater, the pathogenesis may be Central nervous system allergies caused by consumption of silkworm cocoons.

Prevention

Prevention of sputum sputum encephalopathy syndrome in children

Life restraint pays attention to rest, work and rest, life is orderly, and maintaining an optimistic, positive and upward attitude towards life is of great help in preventing diseases. Do the regularity of tea and rice, live daily, not overworked, open-minded, and develop good habits.

Complication

Complications of sputum sputum encephalopathy syndrome in children Complications, nystagmus

If you eat it again, you can still relapse, and severe illness can cause damage to the residual nervous system.

Symptom

Pediatric tussah sputum encephalopathy syndrome symptoms common symptoms face flushing irritability dizziness finger nose is not allowed

This disease first has the history of eating tussah pupa, and it can be afflicted with one ingestion once. The domestic data consumption of patients is 1 to 15, and each time there are several or dozens of people with the same food, only a few cases occur, and the tussah pupa is eaten. Clinical symptoms appear more than 12 hours afterwards, regardless of the amount of food consumed.

1. Clinical symptoms: The main symptoms are dizziness, vomiting, flushing, muscle tremor, gait, little language or aphasia, conscious disturbance, irritability, urinary incontinence or urinary retention.

2. Main signs: increased muscle tone, horizontal tremor of the eyeball, positive facial pyramidal sign, positive eyelid test, finger nose test is not allowed, bad knee test, etc., meningeal irritation is rare, more Cerebral nerve damage performance.

Examine

Examination of filaria sputum encephalopathy syndrome in children

Cerebrospinal fluid may have mild abnormalities, increased brain pressure, protein qualitatively mild positive, cell number, sugar and chloride in the normal range, blood and urine routine, liver function, blood biochemistry, etc. are no obvious abnormalities.

Electroencephalogram can have diffuse delta wave and wave. Magnetic resonance imaging (MRI) study found that patients may have some plaques without clinical symptoms, and conditions should be done for brain CT examination.

Diagnosis

Diagnosis and diagnosis of sputum sputum encephalopathy syndrome in children

The symptoms can be diagnosed based on the exact history of tussah licking, combined with clinical features and EEG.

Diagnose based on:

1. History of eating tussah silkworm: There is a history of eating tussah pupa, and it occurs within 24 hours after eating.

2. Impaired extrapyramidal manifestations: dizziness, tremor, ataxia and other extrapyramidal manifestations.

3. Related examinations: body temperature, routine urine and biochemical tests are normal.

4. Can exclude other diseases: can eliminate tremor paralysis, organic mercury, organic chlorine, organophosphate poisoning and other extrapyramidal diseases.

Identification with demyelinating diseases caused by infectious encephalitis and infection, no symptoms of infection, lack of meningeal irritation and history of eating tussah and laboratory tests can help identify.

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