Meningitis - tuberculous

Pictures

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CLOSE WINDOW Pneumococcal meningitis in a patient with alcoholism Courtesy of the CDC Dr Edwin P Ewing Jr

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Figure 3a Pre contrast coronal brain MRI with the arrow pointing

Repeat MRI of the brain showed an increase in size of the right cerebellar hemisphere abscess as well as new leptomeningeal enhancement of the brainstem and optic chiasm Fig 3 Figure 3a Pre contrast coronal brain MRI with the arrow pointing to the optic chiasm and arrowheads pointing to the leptomeninges

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Figure 2a Post contrast sagittal lumbar MRI demonstrating

imaging by MRI with the finding of a small right cerebellar hemisphere abscess Combination chemotherapy consisting of isoniazid rifampin ethambutol and pyrazinamide was instituted Figure 2a Post contrast sagittal lumbar MRI demonstrating destruction of the L3 vertebral body with epidural compression

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Figure 3b Post contrast MRI demonstrating extensive enhancement

Figure 3a Pre contrast coronal brain MRI with the arrow pointing to the optic chiasm and arrowheads pointing to the leptomeninges Figure 3b Post contrast MRI demonstrating extensive enhancement of the optic chiasm arrow and leptomeninges arrowheads Over the course of

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Figure 2b Post contrast axial MRI illustrating epidural extension

Figure 2a Post contrast sagittal lumbar MRI demonstrating destruction of the L3 vertebral body with epidural compression Figure 2b Post contrast axial MRI illustrating epidural extension of infection as well as the adjacent infection of the psoas muscles

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Tuberculous Meningitis Base

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Tuberculous Meningitis Coronal

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CLOSE WINDOW Fluorochrome for tuberculosis Fluorescent staining procedures are used with auramine O or auramine rhodamine as the primary fluorochrome dye After decolorization with an acid

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CLOSE WINDOW MRI of the brain in a patient with 8 CD4 cells mL The patient s history includes previous interstitial pneumonia pericarditis adnexitis and a positive result on the Mantoux

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Tuberculous Spinal Meningitis

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Table 4 Clinical manifestations and other characteristics among

between 10 20 years old and 1 was above 20 years old r= 0 82 The potential prognostic factors for the two patients groups good outcome vs poor outcome are listed in table 4 Table 4 Clinical manifestations and other characteristics among 96 patients with tuberculous meningitis stratified by good versus poor outcome Antituberculous

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Tuberculous meningitis In tuberculous meningitis there is a tendency for the exudate to be primarily located on the under surface of the brain particularly over the ventral surface of

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Figure 2c T2 weighted axial MRI highlighting the extensive

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Figure 1 Lateral lumbar x ray demonstrating an L3 fracture

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Bryan Tuberculous meningitis

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Table Drug susceptibility patterns of M tuberculosis isolates n=205 from cerebrospinal fl uid of tuberculous meningitis patients

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