Question: Hi Doctor,

I am speaking about my mother who is aged 54 years. Last XXXXXXX 2014 she was diagnosed with Extra-pulmonary TB due to enlargement of Left armpit lymphnodes. Her fever started from 12th May 2014. She was diagnosed on 23/6/2014. She was also complaining about severe headache. Tests were carried out and TB Meningitis was proved. She started with the first line of drugs consisting of
Isoniazid-300mg
Rifampicin-450mg
Pyrazinamide
Ethambuto-1000mg
She continued Ethambutol till November 2014 when suddenly she complained of blurriness and also Green Colour blindness(to slight extent) and was diagnosed Retrobulbar Neuritis. Ethambutol was discontinued at once followed by Isoniazid within one week. MRI was carried out which confirmed the same but of very low intensity.
The drugs she had and duration:-
1) Pyrazinamide:- 2 months
2) Ethambutol and Isoniazid:- 4.5 months
3) Streptomycin:- 60 days
4) Rifamcin:- 11 months
5) Ofloxacin:- 7 months
6) Levofloxacin:- 5 months.

Doctor has asked to stop all drugs at the moment.

Her Blood Test report:-

Basophil-4(Normal is said as 3 or below)
ESR-27(Normal 20 and below)
Lymphocyte:- 44%
WBC-6800(normal below 11000)


I have also attached the recent MRI report of the brain. Can you tell me what it means?

Thanks and Regards,
XXXX XXXXXXX
Hi Doctor,

One thing I forgot to mention. Right now she is suffering from a little high pressure(155/95) which is leading to a little pain on her head.

Thanks and Regards,
XXXX XXXXXXX

Hi Doctor,

Thanks a lot.

Is this anything to do with TB Meningistis?

Thanks and Regards,
XXXX XXXXXXX

Hi Doctor,

Thanks for your reply.

I forgot to mention an important detail. She was given steroids for more than three months at the beginning.

Is is needed to continue with her medicines?

Thanks and Regards,
XXXX XXXXXXX

Hi Doctor,

My mother has been suffering from Retrobulbar Neuritis issue from last November. She can see around 60%-70%. How long will it take to heal? She cannot read Newspapers or see person at a distance.

She stopped taking Isoniazid and Ethambutol at once after Retrobulbar Neuritis was detected(last November.

It has been almost 8.5 months that she left taking those drugs.

Thanks and Regards,
XXXX XXXXXXX
Hi,

Forgot to mention one thing. She discontinued Ethambutol and Isoniazid around 8.5 months back.

Her MRI report also shows something about Retrobulbar Neuritis.

Thanks and Regards,
XXXX XXXXXXX

Hi Doctor,

When MRI was done at the beginning it only showed mild retrobulbar neuritis. Also the opthalmologist confirmed that the damage was very less. Still there is no chance of recovery?

Thanks and Regards,
XXXX XXXXXXX