How does tuberculous meningitis do

summary

Tuberculous meningitis is more common, is the most serious kind of tuberculosis, although not as infectious as tuberculosis, the harm is also very big, then, how to do tuberculous meningitis, the following to introduce.

How does tuberculous meningitis do

Isoniazid, rifampicin, pyrazinamide, ethambutol and streptomycin are the most effective combination of antituberculosis therapy for TBM. The optic neurotoxicity of ethambutol in children and the acoustic neurotoxicity of streptomycin in pregnant women should not be used as much as possible.

Corticosteroids are used in severe patients with increased intracranial pressure, focal neurological signs and spinal subarachnoid obstruction caused by brain edema. Prednisone is usually given orally to adults (60mg / D) or children (1-3mg / kg · d), gradually decreasing after 3-4 weeks, and stopping after 2-3 weeks. It should be noted that if fungal meningitis cannot be ruled out, hormone should be combined with antifungal drugs.

In severe patients, 5-10mg dexamethasone, 4000U α - chymotrypsin and 1500U hyaluronidase can be intrathecally injected at the same time, once every 2-3 days, and the injection should be slow; after the symptoms disappear, twice a week, and once every 1-2 weeks after the signs disappear, until the CSF is normal and the pressure of CSF increases, the patients should be cautious. Osmotic diuretics, such as 20% mannitol, glycerin fructose or glycerin saline, can be used to increase intracranial pressure. At the same time, attention should be paid to timely supplement water and electrolyte and protect the kidney.

matters needing attention

Tuberculous meningitis patients should develop good living habits, ensure rest time, go out properly, and do not go to crowded places. Pay attention to diet and provide adequate nutrition.