9,292 results match your criteria: "Tuberculous Meningitis"
Lancet Glob Health
January 2025
Sheffield Centre for Health and Related Research, School of Medicine and Population Health, University of Sheffield, Sheffield, UK.
Background: Tuberculous meningitis is fatal if untreated and can lead to lifelong neurological sequelae. However, to our knowledge, there are no data on the number of children affected by this disease. We aimed to estimate the global disease burden and attributable mortality of childhood tuberculous meningitis by WHO regions, age groups, treatment status, and HIV status in 2019.
View Article and Find Full Text PDFPLoS One
December 2024
Biochemistry Department, Focus Area for Human Metabolomics, North-West University, Potchefstroom, South Africa.
World J Clin Cases
December 2024
Department of Infectious Diseases, Shengli Clinical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou 350001, Fujian Province, China.
Background: Tuberculosis is a chronic infectious disease and an important public health problem. Despite progress in controlling tuberculosis, the incidence of tuberculosis in China is still very high, with 895000 new cases annually. This case report describes the investigation of a case of severe disseminated tuberculosis in a young adult with normal immune function, conducted to ascertain why a () strain caused such severe disease.
View Article and Find Full Text PDFCureus
November 2024
Department of General Internal Medicine, Shonan Fujisawa Tokushukai Hospital, Fujisawa, JPN.
Tuberculosis (TB) is an infectious disease caused by (MTB). Disseminated TB can cause various types of complications. Extrapulmonary TB includes TB meningitis, abdominal TB, skeletal TB, Pott's disease (spine), scrofula, and genitourinary TB.
View Article and Find Full Text PDFWorld Neurosurg
December 2024
Professor, Department of neurology, King George's Medical University, Lucknow, India 2266003.
Background: Prognosis of adult tuberculous meningitis patients undergoing a ventriculoperitoneal (VP) surgery is not well known. Prognostic models developed to predict the prognosis might help the clinicians immensely.
Methods: This was a prospective study.
Open Forum Infect Dis
December 2024
Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Background: Tuberculous meningitis (TBM) can lead to ophthalmic nerve palsy (ONP), a severe neurological complication. This study aims to evaluates the incidence and risk factors for ONP in TBM patients.
Methods: This retrospective study included 250 TBM patients from the Shanghai Public Health Clinical Center (2013-2022).
Open Forum Infect Dis
December 2024
Department of Neurology, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung, Indonesia.
Background: Hyponatremia is common in tuberculous meningitis (TBM), but its impact on disease severity and outcomes is unclear.
Methods: In a cohort of 864 adult patients with TBM in Indonesia, we assessed the prevalence and prognostic significance of hyponatremia, classified as moderate (120-130 mEq/L) or severe (<120 mEq/L). Patients received standard antituberculous therapy and corticosteroids and were followed for 1-year mortality.
J Pharm Biomed Anal
December 2024
Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa. Electronic address:
For the effective treatment of tuberculosis with first-line anti-tubercular drugs, drug concentrations need to be measured at the site of infection to determine drug exposure. To enable the measurement of the anti-tuberculosis drugs isoniazid and pyrazinamide in the nervous system of patients with tuberculous meningitis, an analytical method was developed and validated for the quantification of these drugs in human cerebrospinal fluid. Samples were prepared by solid phase extraction using Strata-X polymeric extraction plates.
View Article and Find Full Text PDFEur J Case Rep Intern Med
November 2024
Department of Internal Medicine, University Center of Internal Medicine, Cantonal Hospital Baselland, Liestal, Switzerland.
Unlabelled: Paradoxical deterioration in patients with tuberculous meningitis is a significant diagnostic and treatment challenge. We present the case of a 55-year-old previously healthy male, human immunodeficiency virus (HIV)-negative, presenting with headache, fever, agitation and slurred speech, who was ultimately diagnosed with tuberculous meningoencephalitis confirmed by cerebrospinal fluid polymerase chain reaction positive for complex. After initiation of a standard antitubercular therapy combined with glucocorticoids, the patient experienced an initial neurological improvement.
View Article and Find Full Text PDFIJID Reg
December 2024
Infectious Diseases Department, Ibn Rochd University Hospital Center, Faculty of Medicine and Pharmacy, HASSAN II University of Casablanca, Casablanca, Morocco.
We report a case of tuberculous meningitis without pleocytosis of the cerebrospinal fluid (CSF) in a 27-year-old patient admitted for a meningeal syndrome with signs of basilar involvement and an infectious syndrome associated with a hacking cough with whitish sputum and night sweats, evolving for 15 days before her admission, in a context of weight loss of 2 kg, asthenia, and anorexia. Cytobacteriological and chemical analysis of the CSF revealed less than 3 cells/mm white blood cells, high protein levels of 2.54 g/l, and low glucose levels of 0.
View Article and Find Full Text PDFIDCases
October 2024
Yunnan Provincial Infectious Disease Hospital, 28 km from Shi 'an Highway, Yunnan Province, China.
Diagn Microbiol Infect Dis
November 2024
Unidad de Investigación Biomédica Zacatecas, Instituto Mexicano del Seguro Social, Interior Alameda No. 45 Zac., Zacatecas 98000, Mexico. Electronic address:
Cureus
November 2024
Internal Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, GBR.
Diagn Microbiol Infect Dis
February 2025
Department of Tuberculosis, The Fourth People's Hospital of Nanning, Nanning, China. Electronic address:
Radiol Case Rep
January 2025
Pediatric Radiology Department, Children's Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.
Pediatric neuro-meningeal tuberculosis leads to high rates of mortality and morbidity. Prompt diagnosis and initiation of treatment are challenging; imaging findings play a key role in establishing the presumptive diagnosis. General brain imaging findings are well reported; however, specific data on cerebral vascular and spinal involvement in children are sparse.
View Article and Find Full Text PDFFront Immunol
November 2024
National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United States.
Eur J Ophthalmol
November 2024
Ophthalmology division, São José do Rio Preto Medical School (FAMERP), São José do Rio Preto, Brazil.
To report a rare case of Rosai-Dorfman-Destombes (RDD) disease in a teenage girl exhibiting mild fever, night chills, vertigo, and progressive bilateral vision and hearing loss. Case report of a 15-year-old girl who underwent extensive ophthalmic multimodal imaging and a comprehensive workup evaluation. Multiple choroid lesion masses in both eyes associated with systemic multifocal lymphadenopathy, involvement of the paranasal sinuses, and unusual intracranial manifestations well-shown by magnetic resonance imaging (MRI) and whole-body PET-scan.
View Article and Find Full Text PDFJ Neuroimmunol
December 2024
Clinical Microbiology and PK-PD Division, CSIR-Indian Institute of Integrative Medicine, Sanatnagar, Srinagar, J&K 190005, India; Academy of Scientific and Innovative Research (AcSIR), Ghaziabad 201002, India. Electronic address:
Tuberculous meningitis, a severe complication of Mycobacterium tuberculosis (M. tb) infection, involves the dissemination of bacilli in the brain. This study explored the role of the sonic hedgehog (SHH) signaling pathway in regulating blood-brain barrier (BBB) integrity, M.
View Article and Find Full Text PDFAnn Med Surg (Lond)
November 2024
Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal.
Introduction: Tuberculosis is a major public health issue in developing countries. Vasculitis, resulting from tubercular meningitis, can lead to stroke.
Case Presentation: A 33-year-old male presented to the Emergency Department with relapsing-remitting fever with an evening rise in temperature for 1 month, personality changes (aggression and mutism) for 2 weeks, followed by difficulty in moving his lower limbs, and bowel and bladder incontinence.
BMC Infect Dis
November 2024
Department of Neurosurgery, Shenzhen Third People's Hospital, Shenzhen, 518112, China.
BMJ Case Rep
November 2024
Pediatrics, AIIMS Raipur, Raipur, Chhattisgardh, India
Tuberculosis is a global disease and presents with an array of neurological manifestations. Presentation varies from meningitis, radiculo-myelitis, tuberculoma, brain abscess and other combinations. The association of Guillain-Barre' syndrome (GBS) with tuberculosis has been reported in a few reports.
View Article and Find Full Text PDFAfr J Disabil
October 2024
Department of Pediatrics and Child Health, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Background: Population-based data show high proportions of severe cases of cerebral palsy (CP) in resource-poor regions such as sub-Saharan Africa, where most children have potentially preventable risk factors (factors that may increase the likelihood of CP occurrence but can be mitigated through medical interventions).
Objectives: This study aimed to describe the demographic and clinical profile of children living with CP accessing services at Tygerberg Hospital over a period of 10 years (2010-2020), identify the potential gaps in care (proportion of individuals in a country requiring but not receiving suboptimal or inadequate care), and comparison with a similar study at the same centre two decades ago.
Method: This 10-year retrospective study investigated causes and morbidities in children with CP, attending a central hospital in the Western Cape, South Africa.
J Int Med Res
November 2024
Department of Infectious Diseases, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Exp Clin Transplant
October 2024
From the Department of Pediatrics, Gazi University, Ankara, Turkey.
Germs
June 2024
MD, Department of Microbiology, All India Institute of Medical Sciences, Jodhpur, 342005, India.