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Published on: September 5, 2017
Analysis of Tuberculosis Meningitis Pathogenesis, Diagnosis, and Treatment
Aysha Arshad1, Sujay Dayal1, Raj Gadhe1
1College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, CA 91766-1854, USA.
Abstract:
Tuberculosis (TB) is the most prevalent infectious disease in the world. In recent years there has been a significant increase in the incidence of TB due to the emergence of multidrug resistant strains of Mycobacterium tuberculosis (M. tuberculosis) and the increased numbers of highly susceptible immuno-compromised individuals. Central nervous system TB, includes TB meningitis (TBM-the most common presentation), intracranial tuberculomas, and spinal tuberculous arachnoiditis. Individuals with TBM have an initial phase of malaise, headache, fever, or personality change, followed by protracted headache, stroke, meningismus, vomiting, confusion, and focal neurologic findings in two to three weeks. If untreated, mental status deteriorates into stupor or coma. Delay in the treatment of TBM results in, either death or substantial neurological morbidity. This review provides latest developments in the biomedical research on TB meningitis mainly in the areas of host immune responses, pathogenesis, diagnosis, and treatment of this disease.
Insights
Tuberculosis meningitis (TBM) is a severe form of tuberculosis affecting the central nervous system. This review covers recent advances in understanding TBM
Area of Science:
- Neuroinfectious diseases
- Immunology
- Infectious disease pathogenesis
Background:
- Tuberculosis (TB) remains a global health challenge, with increasing incidence linked to multidrug-resistant strains and immunocompromised populations.
- Central nervous system TB, particularly TB meningitis (TBM), presents a diagnostic and therapeutic challenge, often leading to severe neurological sequelae or death if untreated.
Purpose of the Study:
- To review the latest biomedical research developments in TB meningitis.
- To focus on key areas including host immune responses, pathogenesis, diagnosis, and treatment strategies for TBM.
Main Methods:
- This is a review article, synthesizing recent findings from biomedical research.
- Literature search and analysis focusing on host immune responses, pathogenesis, diagnosis, and treatment of TBM.
Main Results:
- TBM progression involves distinct clinical phases, from initial malaise to severe neurological deficits.
- Delay in TBM treatment significantly increases mortality and neurological morbidity.
- Advances in understanding host immune responses and pathogenesis are crucial for improved diagnostics and therapeutics.
Conclusions:
- TBM is a critical manifestation of tuberculosis requiring prompt diagnosis and effective treatment.
- Continued research into host immunity, pathogenesis, and novel therapeutic approaches is essential to combat TBM and improve patient outcomes.
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