Jornal de AIDS e Pesquisa Clínica

Diagnostic Challenge of Tuberculous Meningitis with Tuberculoma in a Newly Diagnosed HIV Infected Patient ART Naïve

Abstract

Rehema H. Simbauranga1*, Sokoine Kivuyo1, Fadhili M. Lyimo2 and Sayoki Mfinanga1,3

Tuberculous meningitis is a subacute disease with symptoms that may persist for several weeks before diagnosis. It can clinically present similarly to other forms of meningitis and this often leads to a delay in treatment. Detection of Mycobacteria Tuberculosis in cerebral spinal fluid remains the gold standard. However, there is low positive rate of mycobacterial detection. Treatment should be initiated as soon as clinical suspicion is supported by initial CSF findings after excluding other causes such as bacteria and fungus.