Is a lumbar puncture required to confirm improvement in condition while taking TB Meningitis treatment ?
Is a lumbar puncture necessary to check if the TB medication is working on A TB Meningitis patient undergoing TB treatment since 2 months. The patient has lost significant weight and appetite. Meningitis headaches, vomiting still exist, but have reduced a bit. Patient is in mid twenties.
dear,with help of lumbar puncture we get fluid in brain for laboratory examination,this gives us idea about possible infection so that it can be treated effectively.In some cases the magnitude of infection can also be judged and response to the treatment can also be seen.so it advocated at times.
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Dear sir my father having TB meningitis went to hospital they diagnosed and started treatment suddenly CSF stays in brain so VP shunt placed they said hydrocephalus and now he can t able walk and speak even unable to eat so doctors said discharged now he is improving but unfortunately creatinine level gradually increased to 2.9 so doctor asked to stop medicine for three days and asked to do creatinine test daily now reduced to 2.3 so he said altering the tables is it right way.how to reduce creatinine level while taking tb drugs.
My wife Ayrin Sultana (23 years old) was suffering from TB meningitis, admitted to Yamaguchi University hospital Japan on July05, 2013. Now doctors are sure about her TB infection but not type of TB pathogens. However last 3 weeks she is under treatment of TB meningitis with Rifampicin, ethambutol, pyriniazinamide and isoniazid. After 7-8 days, Doctors omitted ethambutol while my wife could not see clearly (everything was dark), now bit improved. She has another problem of diplopia. Her left eye pupil is not moving completely to the left corner. Doctors tried to find out optic nerve dysfunction by MRI scanning but could not detect. However, please let me know about your assumption regarding the complete cure of eye problem after meningitis treatment.
my daughter is diagnosed with tb meningitis based on her clinical test results, however the results of her TB PCR test is negative. She is now undergoing medication for TB Meningitis, my question is will she need to continue with the medication for 12 months as prescribed by her doctor due to the results of her clinical tests, despite the fact that her TB PCR test showed negative?
yes thank you. My husband a 43 y.o. male has been hospitalized a second time noe within the last 3 months. the first time they DX him with guillian barre syndrome. they treated with IVIG for 5 consecutive days and then he remained in hospital a total of 9 days until he could walk and then was discharged. this time, s/s started the same as before. N/T in bilateral feet that migrated quickly up to knees and then tohips and then to elbows and wrists. Then intense burning ache in the joints that followed the same progression. MRI show lesions in the brain, none in spinal cord or brain stem. Lumbar puncture showed only elevated proteins (67). they checked for lymes, encephalitis, meningitis.ets... The first time in Novenmber he last all pheripheral reflexes. This time they sre dull only at this point. I am concerned that they are missing something. My husband states the pain is 9/10, and the only meds that help are Neurontin and toradol. Narcotocs and muscle relaxers do not help at all. We questioned CIDP, MS, transverse myelitis, and they have no answers. They havedone another MRI of brain and brain stem/ neck area. We do not know the results yet, and they are questioning whether or not to do another lumbar puncture... I have requested west nile test and tey just ignore me...I have been an RN for 24 years as well.
Am querying current line of thinking by several consultants. Admitted to hospital May 2011; lumbar puncture showed elevated CSF protein of 1088 mg/L with 228 white cells, 95% lymphocytes. The working diagnosis was viral meningitis, and I was discharged after 2 days aciclovir. Negative for herpes simplex virus 1 and 2. Developed infection in leg early October 2011, followed by painful groin, then ulcers either side of scrotum - non painful, and diagnosed as shingles. Mid October 2011, following tinitus, buzzing , hearing different frequencies, then vertigo, admitted for 2 weeks in ID ward...CSF showed 614 white cells with 90% lymphocytosis. CSF protein raised at 1335 mg/L. Tested for everything under the sun, incl. HIV, syphillis, Lyme disease, Cat scratch fever (leg infection thought to have been through an insect bite). All negative, incl. ANA. Chest x-ray, MRI scan of brain and whole spine also negative. Admitted again 26th December 2011, aciclovir for seven days, now back home feeling well, if a little tired. Current thought is Mollarets meningitis, but more recently, rheumatology dept. thinking Behcets syndrome, as I suffer from mouth ulcers. My contention is this; I have sufferd from mouth ulcers since a teenager taking exams at school. If I have a job interview, I will get mouth ulcers after @ 48 hours. Dentist thinks stress induced, as do I. I have no aching joints and no eye irritation, also, just found out that HLAB51 negative. I am a 42 year old British male and caucasian. I can t help feeling there s a square peg being pushed into a round hole here. What about migraine; the tinitus, buzzing and vertigo? Also, I took a non-steroidal (Ibuprofen) prior to the first two episodes. Bickerstaff s encephalitis sounds just as plausible as Behcets...or am I in denial? I would appreciate any advice, even if it s to simply face the music . Thank you for your time.
I have mallorets meningitis, I have struggled with it apparently since I was about 2-3 years old due to varicella and a bad blood infection. About a month ago I had symptoms of meningitis again... Went to ER and was admitted to hospital for a week and a half for antiviral therapy via IV... The day before I was discharged the doctor in charge of my care ordered a picc line to continue IV therapy at home... After 2 additional weeks of antiviral ivs.. Picc line was removed. This was a week and a half ago.. Two days ago I awoke in the middle of the night running a low grade fever and right shoulder and right side of neck was swollen, I developed a cough and now everytime I cough it feels like someone it sticking a hot poker in my right lung and right frontal aspect of my neck, is it possible I ve developed an infection internally?
step daughter just spent the weekend with us. she had been sick since Monday and not taken to doctor. We took her. While she was at the doctor, we found out her boyfriend was in the hospital with viral meningitis. That doctor wasn t concerned because she had no fever. Her symptoms were headache, nausea and back pain. Today, there is a lump that has appeard behind my ear. I have a headache, but I am prone to migraines. My husband just returned home from work and I showed him...he proceeded to show me HIS. That side of my head feels like it is burning. Trying not to overreact, but my son and myself both have compromised immune systems and I just needed to bounce it off somebody
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