187 Correspondence to: Alexandru Crisan, 73 S.Barnutiu Str., Timisoara, Tel.0723919382 Email: [email protected] SUMMARY Generally meningitis with mixed etiology is secondary to underlying diseases (nearby infections of sinuses, ears), post-trauma or penetration of the subarachnoid space (spinal tap, neurosurgery), appears at youngsters and immunodepressed persons. The authors present the ...

smears made from the centrifuged deposit of the fluid, other findings such as the number and the type of cells, presence or absence of sugar, and the quantitative estimation of chlorides help to determine the diagnosis in a case of meningitis. Thus we say that meningococcal meningitis gives rise to increased polymorphonuclear cells and tuberculous meningitis to increased lymphocytes. This, howe...

Adjunctive dexamethasone saves lives in the treatment of tuberculous meningitis but this response is influenced by the patient's LTA4H genotype. Despite less certain benefit, adjunctive dexamethasone is also frequently used in the treatment of pyogenic bacterial meningitis, but the influence of LTA4H genotype on outcomes has not been previously investigated. We genotyped the LTA4H promoter regi...

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abstract pachymeningitis is a rare chronic disorder of the duramater caused by various infectious, autoimmune or malignant diseases. we report a child with chronic tuberculous pachymeningitis, who presented with clinical manifestations of meningitis with a compatible cerebrospinal fluid analysis. despite signs of progressive neurological involvement, extensive work-up done to rule out known cau...

1. Hearmon, C.J. & Ghosh, S.K. Listeria monocytogenes meningitis in previously healthy adults. Postgrad Med J 1989, 65: 74-78. 2. Bach, M.C. & Davis, K.M. Listeria rhombencephalitis mimicking tuberculous meningitis. Rev Infect Dis 1987, 9: 130-133. 3. Klein, N.C., Damsker, B. & Hirshman, S.Z. Mycobacterial meningitis. Retrospective analysis from 1970 to 1983. Am J Med 1985, 79: 29-34. 4. Doming...

We report a rare case of oculomotor nerve palsy and choroidal tuberculous granuloma associated with tuberculous meningoencephalitis. A 15-year-old male visited our hospital for an acute drop of the left eyelid and diplopia. He has been on anti-tuberculous drugs (isoniazid, rifampin) for 1 year for his tuberculous encephalitis. A neurological examination revealed a conscious clear patient with i...

We conducted a retrospective review of confirmed HIV-TB coinfected patients previously enrolled as part of the SAPiT study in Durban, South Africa. Patients with suspected meningitis were included in this case series. From 642 individuals, 14 episodes of meningitis in 10 patients were identified. For 8 patients, this episode of meningitis was the AIDS defining illness, with cryptococcus (9/14 e...