Paradoxical reaction in tuberculous meningitis: presentation, predictors and impact on prognosis
نویسندگان
چکیده
منابع مشابه
Paradoxical reaction in tuberculous meningitis: presentation, predictors and impact on prognosis
BACKGROUND Awareness about paradoxical reactions in tuberculous meningitis is crucial as a paradoxical reaction may lead to certain wrong conclusions (for example, an erroneous diagnosis, and a possibility of treatment failure, mycobacterial drug-resistance, drug toxicity, or presence of a malignancy). The present study was planned to evaluate the incidence and predictive factors of paradoxical...
متن کاملPositive interferon-gamma release assay results are correlated with paradoxical reaction in tuberculous meningitis
Background: Evidence suggests that T cell-based interferon-γ release assays (IGRAs) may be useful for the diagnosis of tuberculosis. The present study aims to investigate the clinical significance of blood T-SPOT.TB assay, a commercially available IGRAs, in tuberculous meningitis (TBM) patients. Methods: Records of consecutive TBM and non-TBM meningitis patients admitted from July 2011 to March...
متن کاملParadoxical Manifestation is Common in HIV-negative Tuberculous Meningitis
Paradoxical manifestation is worsening of pre-existing tuberculous lesion or appearance of new lesions in patients whose condition initially improved with antituberculous treatment. Our hypothesis was that paradoxical manifestation in non-HIV tuberculous meningitis (TBM) patients was underestimated and this could contribute to patients' prognosis. This was the first systemic study of paradoxica...
متن کاملOptochiasmatic tuberculomas: a vision-threatening paradoxical response in tuberculous meningitis.
The single main cause of death from infectious diseases worldwide is tuberculosis, which is more prevalent in developing countries. Tuberculous meningitis (TBM) is a severe form of TB in which morbidity and mortality depend upon the stage of presentation. Intracranial brain parenchymal tuberculomas may form paradoxically, days to months after starting antituberculous drug therap...
متن کاملTuberculous meningitis: role of CT in management and prognosis.
Serial computed tomographic scans were performed during the course of tuberculous meningitis in 25 patients aged 1-70 years. Hydrocephalus rarely occurred without other abnormalities. Marked ventricular enlargement was associated with extensive basal enhancement. Basal meningeal enhancement was not a good indicator of the clinical state although marked enhancement was a risk factor for the deve...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: BMC Infectious Diseases
سال: 2016
ISSN: 1471-2334
DOI: 10.1186/s12879-016-1625-9