Problem description: Condition description (time of onset, main symptoms, symptom changes, etc.): The patient is a female, 58 years old, a fruit farmer. Before the illness, she had superficial gastritis for many years without other diseases. Since more than two years ago, I have been taking health products such as Meropai Yimu Capsules, Mulberry Leaf Monkey Mushroom Powder, and Matsutake Pupa Powder for nearly two years.
On February 6, he was edible, but felt sore neck and shoulders, body weakness, unsteady walking, blurred vision, occasional vomiting, and no fever. On February 14, I went to the local township health center to be hospitalized for a cold. The patient’s soreness eased, but other symptoms did not disappear.
On February 18, the patient was hospitalized again, and the blood vessels were expanded and gastritis was treated. He was discharged after 7 days. However, except for the slight improvement in vertigo, other symptoms remained unchanged.
On March 17, she was hospitalized again with misty eyes and trembling hands and feet. CT imaging of the brain failed to diagnose the cause. During the period, there was no fever.
On March 29th, brain imaging examination revealed that the white matter of both sides of the ventricle was found to be flaky abnormal signal foci (for the report, see Appendix 4: Brain Imaging Examination Report Form), serum examination, brain wave examination (see Appendix 5: Video Brain Electrogram report), cerebrospinal fluid examination (see appendix 6: cerebrospinal fluid examination report), a full set of virus pro-microbial metagenomic tests, but the cause of the disease could not be determined. According to the treatment of encephalitis with hormones and anti-inflammatory drugs, there is no improvement. The patient’s eyes are sluggish without closing his eyes. Outsiders feel panic when touching his eyes and keep his muscles tight and hands clenched for 24 hours. Have you ever gone to the hospital for treatment: Haven’t been to the current medication description: No medication, previous medical and surgical history: none
Date of question: 2021-04-14
Patient information :Age: 58 years old Gender: Female
Problem analysis: Hello, thank you for using Xunyiwenyao. Based on your description and the examination results provided, the patient is currently considering Encephalitis does exist, but which kind of encephalitis needs further examination.
Guidelines: It is recommended to further check for cryptococcal encephalitis or tuberculous encephalitis. At present, the results you provide can only exclude autoimmune encephalitis, but other encephalitis cannot be excluded , And further inspection is needed, so that’s good.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection