TB MENINGITIS

Meningitis caused by M. tuberculosis. Onset may be gradual with fatigue, fever, vomiting, weight loss, irritability, headache, progressing to confusion, focal neurological deficits, meningeal irritation, till coma.

  • For diagnosis: check CSF (raised protein, lymphocytosis), look for possible primary TB site

Management

  • Refer to hospital
  • Treat as per pulmonary TB but continuation phase is 10 months instead of 4 (2RHZE/10RH)
  • See tuberclosis for more information