Tuberculous meningitis: pitfalls in diagnosis

被引:18
作者
Joosten, AAJ
van der Valk, PDLPM
Geelen, JAG
Severin, WPJ
Steur, ENHJ
机构
[1] Med Spectrum Twente, Dept Neurol, NL-7500 KA Enschede, Netherlands
[2] Med Spectrum Twente, Dept Pulm Med, NL-7500 KA Enschede, Netherlands
[3] Med Spectrum Twente, Dept Microbiol, Enschede, Netherlands
来源
ACTA NEUROLOGICA SCANDINAVICA | 2000年 / 102卷 / 06期
关键词
tuberculous meningitis; differential diagnosis; PCR; M; tuberculosis;
D O I
10.1034/j.1600-0404.2000.102006388.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives - The diagnosis of tuberculous meningitis is easily missed because the variety of symptoms give rise to problems with the differential diagnosis. Material - Five cases of difficult to diagnose tuberculous meningitis are presented. Results - Several reasons for the diagnostic delay are highlighted. The fact that tuberculous meningitis is rather rare in developed countries contributes to this problem. Recommendations for a quick diagnosis are given. Conclusion - The diagnosis of tuberculous meningitis in developed countries is often made after a substantial delay. In case of suspicion on the diagnosis additional examination should be performed and treatment should be started immediately.
引用
收藏
页码:388 / 394
页数:7
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