HIV Associated Tuberculous Meningitis-Diagnostic and Therapeutic Challenges

The HIV-infected individual is at greater risk of developing TBM, particularly at a stage of more advanced immunosuppression. The cinical presentation of tuberculous meningitis in HIV-infected individuals is more likely to include an altered level of consciousness, cranial imaging is more likely to...

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Bibliographic Details
Main Author: Paulus Sugianto
Format: Book Section PeerReviewed
Language:English
English
Published: CV Dwiputra Pustaka Jaya 2015
Subjects:
Online Access:http://repository.unair.ac.id/98312/1/HIV%20Associated%20Tuberculous_compressed.pdf
http://repository.unair.ac.id/98312/2/HIV%20Associated%20Tuberculosis.pdf
http://repository.unair.ac.id/98312/
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Institution: Universitas Airlangga
Language: English
English
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Summary:The HIV-infected individual is at greater risk of developing TBM, particularly at a stage of more advanced immunosuppression. The cinical presentation of tuberculous meningitis in HIV-infected individuals is more likely to include an altered level of consciousness, cranial imaging is more likely to show cerebral infarctions, and the yield of culture of cerebrospinal fluid may also be greater. Therapeutic approach include OAT, corticosteroid and treatment of the other complication such as infarct, hydrocephalus etc. Risk of mortality is highly correlated with the clinical stage at presentation and initiation of OAT.