Viral meningitis medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
Viral meningitis has no specific treatment as most of the patients recover within 7-10 days. However, antiviral medical therapy can be provided for the patients caused with specific viruses like the enteroviruses or the influenza | [[Viral]] [[meningitis]] has no specific treatment as most of the patients recover within 7-10 days. However, [[antiviral]] medical therapy can be provided for the patients caused with specific viruses like the [[enteroviruses]] or the [[influenza]]. | ||
==Medical therapy== | ==Medical therapy== | ||
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===Supportive measures=== | ===Supportive measures=== | ||
*Analgesics for | *[[Analgesics]] for relieving [[pain]]. | ||
*Acetaminophen for the fever | *[[Acetaminophen]] for the [[fever]]. | ||
*If seizures are noticed, Phenytoin would be helpful | *If [[seizures]] are noticed, [[Phenytoin]] would be helpful. | ||
* | *[[Fluids]] and [[Electrolyte|electrolytes]] management to avoid development of [[brain edema]].<ref name="pmid11051293">{{cite journal| author=Rotbart HA| title=Viral meningitis. | journal=Semin Neurol | year= 2000 | volume= 20 | issue= 3 | pages= 277-92 | pmid=11051293 | doi=10.1055/s-2000-9427 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11051293 }} </ref> | ||
===Antiviral medical therapy=== | ===Antiviral medical therapy=== | ||
*Acyclovir is the antiviral agent that can be used against the enteroviruses. It is effective against viral meningitis so that it is recommended to start it early.<ref name="pmid15319091">{{cite journal| author=Tyler KL| title=Herpes simplex virus infections of the central nervous system: encephalitis and meningitis, including Mollaret's. | journal=Herpes | year= 2004 | volume= 11 Suppl 2 | issue= | pages= 57A-64A | pmid=15319091 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15319091 }} </ref> | *[[Acyclovir]] is the [[antiviral]] agent that can be used against the [[enteroviruses]]. It is effective against viral meningitis so that it is recommended to start it early.<ref name="pmid15319091">{{cite journal| author=Tyler KL| title=Herpes simplex virus infections of the central nervous system: encephalitis and meningitis, including Mollaret's. | journal=Herpes | year= 2004 | volume= 11 Suppl 2 | issue= | pages= 57A-64A | pmid=15319091 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15319091 }} </ref> | ||
*Pleconaril and immune serum globulin (ISG) are antiviral agents that can be used in case of enteroviral meningitis. They inhibit viral replication. | *[[Pleconaril]] and immune serum globulin (ISG) are antiviral agents that can be used in case of [[enteroviral]] [[meningitis]]. They inhibit [[Viral replication|viral replication.]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Neurology]] | |||
Latest revision as of 00:41, 30 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
Viral meningitis has no specific treatment as most of the patients recover within 7-10 days. However, antiviral medical therapy can be provided for the patients caused with specific viruses like the enteroviruses or the influenza.
Medical therapy
Viral meningitis treatment is done in two ways the supportive measures and the antiviral therapy.
Supportive measures
- Analgesics for relieving pain.
- Acetaminophen for the fever.
- If seizures are noticed, Phenytoin would be helpful.
- Fluids and electrolytes management to avoid development of brain edema.[1]
Antiviral medical therapy
- Acyclovir is the antiviral agent that can be used against the enteroviruses. It is effective against viral meningitis so that it is recommended to start it early.[2]
- Pleconaril and immune serum globulin (ISG) are antiviral agents that can be used in case of enteroviral meningitis. They inhibit viral replication.
References
- ↑ Rotbart HA (2000). "Viral meningitis". Semin Neurol. 20 (3): 277–92. doi:10.1055/s-2000-9427. PMID 11051293.
- ↑ Tyler KL (2004). "Herpes simplex virus infections of the central nervous system: encephalitis and meningitis, including Mollaret's". Herpes. 11 Suppl 2: 57A–64A. PMID 15319091.