Tuberculous Meningitis: A Comparison of Scoring Systems for Diagnosis
نویسندگان
چکیده
منابع مشابه
Tuberculous meningitis: a comparison of scoring systems for diagnosis.
OBJECTIVES Tuberculous meningitis (TBM) is a major clinical and public health problem, both for diagnosis and management. We compare two established scoring systems, Thwaites and the Lancet consensus scoring system for the diagnosis of TB and compare the clinical outcome in a tertiary care setting. METHODS We analyzed 306 patients with central nervous system (CNS) infection over a 5-year peri...
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In view of the importance of early diagnosis of tuberculous meningitis (TBM), the efficiency of the polymerase chain reaction (PCR), one of the most reliable and sensitive DNA-based assays, was compared with conventional methods (acid-fast microscopy and culture) for the detection of M. tuberculosis in cerebrospinal fluid (CSF) specimens from patients suspected of TBM. Of the 29 CSF specim...
متن کاملImproving the bacteriological diagnosis of tuberculous meningitis.
We made a bacteriological diagnosis of tuberculous meningitis in 107 of 132 (81%) adults with clinical tuberculous meningitis: acid-fast bacilli were seen in 77 of 132 (58%) and cultured from 94 of 132 (71%). Volume of cerebrospinal fluid, duration of symptoms, cerebrospinal fluid neutrophils, lactate, and glucose were all independently associated with bacteriological confirmation.
متن کاملDiagnosis of tuberculous meningitis: challenges and promises.
Tuberculosis (TB) which is caused by Mycobacterium tuberculosis infects primarily the lungs but it also affects other parts of the body. Tuberculous meningitis (TBM) is the most severe form of TB and has the highest mortality and morbidity rate compared to other forms of TB. It is common in young children and HIV-infected patients, but is also seen in adults. Despite anti-tuberculosis treatment...
متن کاملA Five Years Study of Tuberculous Meningitis in Iran
Background: Tuberculous meningitis (TBM) is a severe form of extra pulmonary tuberculosis with high mortality and morbidity rate in all age group patients specific in adults and children. The incidence and prevalence are not exactly known in Iran. In this study, we tried to evaluate the role of rapid diagnosis and to find out the highest risk group patients. Methods:Totally,...
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ژورنال
عنوان ژورنال: Oman Medical Journal
سال: 2013
ISSN: 1999-768X,2070-5204
DOI: 10.5001/omj.2013.47