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Published on: November 5, 2019
[Tuberculous meningo-encephalitis in pediatrics. Considerations on 71 cases (1968-1993)]
A Romano1, L Salsa, M L Furnari
1Istituto di Patologia Infettiva e Virologia dell'Universita di Palermo.
Insights
Tuberculous meningitis, a severe childhood tuberculosis complication, often leads to lasting neurological issues and death. Early diagnosis and prompt anti-tuberculosis treatment are crucial for better outcomes.
Area of Science:
- Neurology
- Infectious Diseases
- Pediatrics
Context:
- Tuberculous meningitis (TBM) is a severe complication of tuberculosis, predominantly affecting children.
- Neurological sequelae and high mortality rates remain significant challenges in TBM management.
Purpose:
- To evaluate the most frequent symptoms preceding and present at admission in pediatric TBM cases.
- To correlate presenting symptoms and signs with patient prognosis.
Summary:
- A review of 71 pediatric TBM cases identified common pre-admission symptoms and admission signs/symptoms.
- Analysis aimed to understand their impact on patient outcomes, including neurological sequelae and mortality.
Impact:
- Highlights the critical need for early diagnosis of tuberculous meningitis.
- Emphasizes that timely, specific anti-tuberculosis treatment is essential to prevent severe neurological deficits and fatalities in children.
Abstract:
The tuberculous meningitis is an uncommon but severe complication of the tuberculosis mainly in childhood. Neurological sequelae are frequent and high mortality rate, till now, occurs. We reviewed the medical records of 71 cases and we evaluated the most frequent symptoms before the admission and signs and symptoms on the admission according to prognosis. An early diagnosis and specific anti-tuberculous treatment are essential in order to prevent permanent neurological sequelae and fatal outcome
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