Cyproheptadine in severe anorexia.

A 4-year-old girl was diagnosed to have TBM on the basis of history, abnormal CSF findings and a CT scan showing moderate hydrocephalus and basal exudates. She was treated with a combination of streptomycin, isoniazid, rifampicin and pyrazinamide. She also received oral phenobarbitone for convulsions and mannitol and acetazolamide. The sensorium improved on the 6th day, only after a ventriculoperitoneal shunt was inserted. Her neurologic status and mentation was normal within 30 days of therapy. However, she had to be discharged on tube feeds since she had severe anorexia.