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Diagnostic and management issues in tuberculous meningitis 

Diagnostic and management issues in tuberculous meningitis
Chapter:
Diagnostic and management issues in tuberculous meningitis
Author(s):

Naghum Dawood

DOI:
10.1093/med/9780199665754.003.0030
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date: 28 November 2020

Tuberculous meningitis (TBM) is associated with high levels of morbidity and mortality. Diagnosis continues to pose a challenge due to the low sensitivity of microbiological culture and molecular diagnostics when performed on CSF. Diagnosis is dependent on considering the diagnosis and hunting for diagnostic clues from history and examination, radiological assessment and, CSF analysis. Taking microbiological specimens from other sites is also important. The chapter presents a case of TBM and the reader is taken step by step through the diagnosis and management of TBM with particular attention to side effects of medications such as adjuvant corticosteroids.

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