Tuberculous meningitis
- in tuberculosis central nervous system involvement is most commonly seen as (1) :
- meningitis
- tuberculomas
- tuberculous meningitis
- is caused by blood-borne spread of the M. tuberculosis to the brain.
- it is usually seen following the primary infection (2)
- sometimes it is part of widespread miliary tuberculosis (2)
- around 100 cases of Tuberculous meningitis occur each year in England and Wales.
- is not often seen in the UK outside of the immigrant population.
- it is important to think of tuberculous meningitis in immune suppressed patients.
Reference:
- Chin JH. Tuberculous meningitis: Diagnostic and therapeutic challenges. Neurol Clin Pract. 2014 Jun;4(3):199-205.
- NICE. Tuberculosis. NICE guideline NG33. Published January 2016, last updated February 2024
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