RT Journal Article
SR Electronic
T1 Tuberculous tales: an East London experience
JF Practical Neurology
JO Pract Neurol
FD BMJ Publishing Group Ltd
SP practneurol-2017-001653
DO 10.1136/practneurol-2017-001653
A1 Apeksha M Shah
A1 Dominika Raciborska
A1 Matthew Stevens
A1 Sharmilee Gnanapavan
A1 Veronica L C White
A1 Benjamin Turner
YR 2017
UL http://pn.bmj.com/content/early/2017/08/16/practneurol-2017-001653.abstract
AB Tuberculous meningitis presents a diagnostic and therapeutic challenge, and considering its long history and increasing global incidence, the evidence base for its treatment is relatively scanty. Many UK neurologists will have little first-hand experience of this deadly condition, and if faced with a patient with possible tuberculous meningitis will find decision making less than straightforward. In parts of East London (UK) the rates of tuberculosis and tuberculous meningitis are among the highest in Western Europe, and so the neurologists and respiratory physicians at the Royal London Hospital have encountered many such patients over the years. We have found experience to be a valuable teacher and so would like to share five cases that illustrate the complexities of diagnosis and management of the disease, and complications of its treatment.