Prognostic indicators in tubercular meningitis in children
Agarwal, Mukesh (1989) Prognostic indicators in tubercular meningitis in children. Indian Journal of Tuberculosis, 36 (3). pp. 161-165.
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A study was conducted to identify bad prognostic factors in tubercular meningitis (TBM). 50 cases of TBM were included in study. Overall fatality in TBM was 32%; 26% of the total cases, who survived were left with some neurological^ deficit after recovery. Significantly poor outcome, i.e., high frequency of deaths and sequelae among survivors was observed in cases with age less than three years, preceding immunosuppressive illnesses, severe malnutrition (weight less than 60% of expected), prolonged history of complaints more than one month, state III disease, presence of convulsions and CSF Pleocytosis (specially more than 50 cells/mm.3) Papilledema, associated extracramal tuberculosis, intercurrertt infection, radiological evidence of pulmonary disease, tuberculin reaction and CSF protein or sugar content, did not seem to influence prognosis.
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