CNS Tuberculosis In HIV Infected Persons

 HIV-infected individuals are at greater than before risk for all forms of tuberculosis, including tuberculous meningitis extrapulmonary. This risk is enlarged at more advanced levels of immune suppression. The time gap between onset of symptoms and presentation to medical care may differ extensively, and as a result persons may there with acute or chronic meningitis. The clinical appearance of tuberculous meningitis in HIV-infected persons is more expected to comprise an changed level of consciousness, the surrender of culture of cerebrospinal fluid may also be greater, and cranial imaging is more likely to show cerebral infarctions. Given that late initiation of therapy is a strong forecaster of mortality in cases of tuberculous meningitis, clinicians must consider tuberculosis in the discrepancy diagnosis of the HIV-infected person with acute or chronic lymphocytic meningitis

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