Risk Factors Determination for Complication in Adult Tubercular Meningitis Patients
Journal Title: International Journal of Current Research and Review - Year 2018, Vol 10, Issue 23
Abstract
Introduction: Tubercular meningitis (TBM) is an important health issue, particularly in developing countries. There are several factors which are responsible for complications. Determination and modification of such risk factors are important to manage the cases. Aim of the study: Determination of risk factor for complication in adult tubercular meningitis. Study design: It is a retrospective, observational, analytical study. Methods: Adults(>18 years age) TBM cases were studied within 6 months follow up during august 2017 to December of 2017. Details history, clinical examination, investigation were done. Severity was assessed by MRC(Medical Research Council) staging and outcome was determined by Glasgow outcome scale(gos). Results: Among 50 cases 90% were in low socioeconomic group and females(60%) were affected more. Major neurological complications were hydrocephalous(18%), cognitive impairement (18%), cranial nerve palsy(16%), hemi paresis(14%), seizure(12%). Important risk factors were low socioeconomic status, smoking, alcoholism, poor nutrition, diabetes, immunosuppression, high CSF protein, ADA. Conclusion: TBM with important risk factors patient to be monitored more frequently for early detection of any complications and management.
Authors and Affiliations
Kapildev Mondal
Keywords
Related Articles
- EP ID EP533275
- DOI 10.31782/IJCRR.2018.10231
- Views 120
- Downloads 0
A Case of Neurofibromatosis Type 1 Associated with Cervical Cord Ependymoma
Patients with neurofibromatosis 1 (NF1) are predisposed to develop central nervous system tumours, due to the loss of neurofibromin, an inactivator of proto-oncogene RAS. We present a case of NF1 patient with a spinal co...
A Comparative Study of Isolation of Obligate Anaerobes and Facultative Anaerobes in Microbial Flora of Non- Vital Teeth in Diabetic (Type II) and Non-Diabetic Patients
Introduction: The aim of the study was to evaluate and compare the anaerobic microflora (obligate and facultative) of the root canals of non vital teeth with periapical lesions, in diabetic (Type II) and non-diabetic pat...
Craniofacial Anthropometric Measurement of Normal Full Term Newborns in Lower Hills of Himachal Pradesh
Introduction: Anthropometric measurements of infant body help us to predict their health and future growth. The objective of this study is to document anthropometric data of normal newborns in Himachal Pradesh. This work...
Women in Child Care and Early Education: Truly Nontraditional Work
The field of child care and early childhood has been viewed historically as ‘women’s work’ and shares the typical characteristics of low compensation, limited requirements, incoherent career ladder, and high turnover. Th...
Integrated Approach Towards Holistic Health: Current Trends and Future Scope
Modern medicine is evidence based system of medicine with its high end investigative tools, surgical procedures and continued research at molecular, genetic and pharmaceutical levels. Ayurveda is an intricate system of h...