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Tuberculous meningitis in Asian patients

Tuberculous meningitis in Asian patients
Tuberculous meningitis in Asian patients

17 cases of tuberculous meningitis were seen in Leicester hospitals over a 5 year period; 15 of the patients were Asian. Treatment had often been delayed because presentation of the disease was non-specific and the cereobrospinal fluid findings were atypical. The average interval between the onset of symptoms and admission to hospital was 2 weeks (the shortest period was 5 days). Of the 10 patients admitted with disturbance of consciousness 5 died, whereas all 7 who were alert on admission survived. It is essential to exclude tuberculous meningitis in any Asian patient with a persistent febrile illness even if meningism is not evident, since patients who progress to the later stages of the disease often die or are left disabled.

Adolescent, Adult, Aged, Asia/ethnology, Child, Child, Preschool, Diagnosis, Differential, England, Female, Humans, Male, Meningitis, Viral/diagnosis, Middle Aged, Tuberculosis, Meningeal/diagnosis
0140-6736
15-16
Swart, S
4fb1f1d9-150a-423b-9ff6-4143aadf3019
Briggs, R S
a6b65ef0-e90c-4c07-bf5b-b70130c128b3
Millac, P A
5836dbe3-2d9f-4957-b280-4f7cd5ded5be
Swart, S
4fb1f1d9-150a-423b-9ff6-4143aadf3019
Briggs, R S
a6b65ef0-e90c-4c07-bf5b-b70130c128b3
Millac, P A
5836dbe3-2d9f-4957-b280-4f7cd5ded5be

Swart, S, Briggs, R S and Millac, P A (1981) Tuberculous meningitis in Asian patients. The Lancet, 2 (8236), 15-16. (doi:10.1016/s0140-6736(81)90253-1).

Record type: Article

Abstract

17 cases of tuberculous meningitis were seen in Leicester hospitals over a 5 year period; 15 of the patients were Asian. Treatment had often been delayed because presentation of the disease was non-specific and the cereobrospinal fluid findings were atypical. The average interval between the onset of symptoms and admission to hospital was 2 weeks (the shortest period was 5 days). Of the 10 patients admitted with disturbance of consciousness 5 died, whereas all 7 who were alert on admission survived. It is essential to exclude tuberculous meningitis in any Asian patient with a persistent febrile illness even if meningism is not evident, since patients who progress to the later stages of the disease often die or are left disabled.

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More information

Published date: 4 July 1981
Keywords: Adolescent, Adult, Aged, Asia/ethnology, Child, Child, Preschool, Diagnosis, Differential, England, Female, Humans, Male, Meningitis, Viral/diagnosis, Middle Aged, Tuberculosis, Meningeal/diagnosis

Identifiers

Local EPrints ID: 479651
URI: http://eprints.soton.ac.uk/id/eprint/479651
ISSN: 0140-6736
PURE UUID: 6eec2bb2-2947-43af-9718-1b8abbb2572b

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Date deposited: 26 Jul 2023 16:44
Last modified: 15 Aug 2024 17:17

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Contributors

Author: S Swart
Author: R S Briggs
Author: P A Millac

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