Tuberculosis meningeal

Design a therapeutic plan for a patient with tuberculosis meningitis or tuberculosis... 

Diagnosis of tuberculosis meningitis employs acid-fast staining, culture, and PCR of the CSF. 

Patients with M. tuberculosis meningitis should be treated for a duration of 9 months or longer with multiple-drug therapy, and patients with rifampin-resistant strains should receive 18 to 24 months of therapy. 

Glucose >50% of the serum values Acute bacterial meningitis Tuberculosis meningitis Cryptococcal meningitis Listeria meningitis Neurosarcoidosis ... 

Lactate <2.1 nunol Acute bacterial, fungal, and tuberculosis meningitis CNS tissue destruction... 

Bonington A, Strang JI, Klapper PE, Hood SV, Rubombora W, Penny M, et al. Use of Roche AMPLICOR Mycobacterium tuberculosis PGR in early diagnosis of tuberculosis meningitis. J Clin Microbiol 1998 36 1251-4. 

Byrd T, Zinser R Tuberculosis meningitis. Curr Treat Options Neurol 2001 3 427-432. 

Waecker NJ. Tuberculosis meningitis in children. Curr Treat Options Neurol 2002 4 249-257. 

Triclosan (10.279) kills a wide range of bacteria that cause food poisoning, dysentery, cholera, pneumonia, tetanus, meningitis, tuberculosis and sore throats. It also prevents the development of bacterially related odours and kills the yeasts responsible for Candida ulcers... 

Suggested Alternatives for Differential Diagnosis Other forms of encephalitis (e.g., California, Eastern Equine, St Louis, West Nile, Murray Valley), malaria, dengue fever, meningitis, tuberculosis, typhoid fever, enteroviruses, herpes simplex, and Nipah virus. 

Mycobacterium tuberculosis var. hominis is the primary cause of tuberculous meningitis. Tuberculous meningitis may exist in the absence of disease in the lung or extrapulmonary sites. Upon initial examination, CSF usually contains 100 to 1,000 WBC/mm3, which may be 75% to 80% polymorphonuclear cells. Over time, the pattern of WBCs in the CSF will shift to lymphocytes and monocytes. 

Rifampicin is the most effective drng for treating pnlmonary and non-pulmonary forms of tuberculosis, including tnbercnlosis meningitis. It shonld always be used in combination with other drngs. Synonyms of this drng are rifadin, rimactan, rifapiam, rimactazide, and others. 

It is used to treat sepsis, meningitis, osteomyelitis, peritonitis, pneumonia, pyelonephritis, pyelocystitis, infected wounds, and post-operational, purulent complications that are caused by microorganisms sensitive to this drug. Kanamycin is used to treat tuberculosis of the lungs and other organs upon resistance to other antituberculosis drugs. Synonyms of this drug are karmycin, kamaxin, resistomycin, and many others. 

Apart from its main use in tuberculosis, it is also used in leprosy and prophylaxis of meningitis due to H. influenzae and meningococci. It is also used with doxycycline in treatment of brucellosis. 

Firefighters, in the normal course of their duties, may find themselves exposed to infectious/communicable diseases including hepatitis, meningitis, HIV, and tuberculosis. Potentially infectious persons may have no specific signs, symptoms, or complaints, and they may have no awareness of their potential to transmit their disease to others. Therefore, firefighters must take preventative and protective measures with each and every person to whom they respond to prevent or reduce the risk of direct exposure to communicable diseases. 

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