| Disease |
MENINGITIS TUBERCULAR |
| |
|
| Quotation |
A persons judgment is No better than his information. |
| |
|
| Definition |
An Inflammatory response to tubercular infection of the Pia-arachnoid and the Cerebrospinal fluid. Basal meningitis is prominent and hence cranial nerve involvement is frequent. |
| |
|
| Prognosis |
Good following early diagnosis and adequate treatment. |
| |
|
| General Measures |
Symptomatic therapy for fever, headache, vomiting and seizures. |
| |
|
| Follow Up |
Weekly initially after discharge from hospital and then monthly to assess progress and compliance to therapy. Monitoring liver function for those on rifamicin, ehionamide, 3 monthly ophthalmic checks for patients on ethambutol. Repeat LP at 1 month, 2month, 6 months, 1 and 2 years to document treatment response drug resistance, if any. |
| |
|
| Inadequate Response |
Repeat CT or MRI and CSF examination to rule in/ out (leading to rise in CSF protein) and this could call for steroids in therapy. Imaging might reveal hydrocephalus, infarction due to endarteritis or tuberculoma.To rule out drug resistance.Poor patient compliance.Any of complications listed above. |
| |
|
| Prevention |
As for pulmonary Tuberculosis, if there is concomitant pulmonary infection. |
