Hi doctor, my neighbor?s 19 year old daughter had been to hospital two months back with a cough and a severe headache and nausea. She had fever for several days prior, over the next few days her temperature settled without the use of an antibiotic. Two days later she was readmitted with vomiting and a recurrence of headache and later diagnosed as TB meningitis. Doctor how common is the TB meningitis? How serious is the infection? What is the outcome of the infection? What are complications?
Tubercular meningitis is not common, but the incidence is on the increase and has been attributed due to improved case notification, a rise in the elderly population, high rates of TB among new immigrants, increase in the prevalence of poverty and homelessness and the HIV epidemic. TB meningitis is associated with high morbidity and mortality. Early diagnosis can be difficult due to nonspecific early presentation and the disease is fatal if not treated early. The outcome of TB meningitis depends on the degree of neurological deterioration that has occurred by the time antituberculous therapy is started. A tuberculoma in the cerebral cortex (arriving there by haematogenous spread) may enlarge and rupture with dissemination of bacilli and development of meningitis. Brain damage resulting from the infection may cause motor paralysis, seizures, mental impairment, and abnormal behavior.
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19 Year Diagnosed As TB Meningitis Complications.
Tubercular meningitis is not common, but the incidence is on the increase and has been attributed due to improved case notification, a rise in the elderly population, high rates of TB among new immigrants, increase in the prevalence of poverty and homelessness and the HIV epidemic. TB meningitis is associated with high morbidity and mortality. Early diagnosis can be difficult due to nonspecific early presentation and the disease is fatal if not treated early. The outcome of TB meningitis depends on the degree of neurological deterioration that has occurred by the time antituberculous therapy is started. A tuberculoma in the cerebral cortex (arriving there by haematogenous spread) may enlarge and rupture with dissemination of bacilli and development of meningitis. Brain damage resulting from the infection may cause motor paralysis, seizures, mental impairment, and abnormal behavior.