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10.4314/ahs.v14i1.22 http://scihub22266oqcxt.onion/10.4314/ahs.v14i1.22 C4449047!4449047 !26060471     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26060471 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Afr+Health+Sci 2014 ; 14 (1 ): 143-9 Nephropedia Template TP {{tp|p=26060471 |t=2014. Presentation and outcome of tuberculous meningitis among children: experiences from a tertiary children s hospital |pdf=|usr=}}{{26060471 }} gab.com Text Presentation and outcome of tuberculous meningitis among children: experiences from a tertiary children s hospital JO: Afr Health Sci http://www.kidney.de/pget.php?&tw=1&pmid=26060471 #FOAvip BACKGROUND: Diagnosis of tuberculous meningitis (TBM) is complicated and outcome is poor especially in resource limited settings. Early diagnosis and prompt treatment are vital in effective treatment. We set out to describe experiences in the management and immediate outcome of TBM a tertiary-level children's hospital in a high HIV and tuberculosis co-infection setting. METHODS: This retrospective study included children who were diagnosed with TBM in the year 2009. A pre-coded questionnaire was used to extract data on presentation, diagnostics, treatment and outcome at the time of hospital discharge. Data was analyzed using STATA statistical package (StataCorp, Version 11). RESULTS: Of the 40 children diagnosed with TBM, 6 (15%) had definitive TBM, 17 (42.5%) had probable TBM and 17 (42.5%) had possible TBM. The cerebrospinal fluid (CSF) chemistry and cells were abnormal in 39/40 (98%). Mantoux test was reactive in 16/29 (55%) and 17/30 (57%) had Chest X-rays suggestive of tuberculosis. Only 3/21 (14%) had positive sputum tuberculosis culture and 89% (32/36) had neuro-imaging abnormalities. Outcome at discharge was; 8% died, 49% improved with neurological sequelae and 43% improved without sequelae. Having TBM stage 3 at admission was associated with mortality (p=0.001). CONCLUSIONS: Most children had early diagnosis of TBM and mortality was lower than in previous studies. We recommend a larger prospective study to further understand the outcome of TBM. Twit Text FOAVip Presentation and outcome of tuberculous meningitis among children: experiences from a tertiary children s hospital ????Afr Health Sci http://www.kidney.de/pget.php?&tw=1&pmid=26060471 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26060471 #FOAvip English Wikipedia <ref>{{Cite pmid|26060471 }}</ref> Presentation and outcome of tuberculous meningitis among children: experiences from a tertiary children s hospital #MMPMID26060471 Nabukeera-Barungi N ; Wilmshurst J ; Rudzani M ; Nuttall J Afr Health Sci 2014[Mar]; 14 (1 ): 143-9 PMID26060471 show ga BACKGROUND: Diagnosis of tuberculous meningitis (TBM) is complicated and outcome is poor especially in resource limited settings. Early diagnosis and prompt treatment are vital in effective treatment. We set out to describe experiences in the management and immediate outcome of TBM a tertiary-level children's hospital in a high HIV and tuberculosis co-infection setting. METHODS: This retrospective study included children who were diagnosed with TBM in the year 2009. A pre-coded questionnaire was used to extract data on presentation, diagnostics, treatment and outcome at the time of hospital discharge. Data was analyzed using STATA statistical package (StataCorp, Version 11). RESULTS: Of the 40 children diagnosed with TBM, 6 (15%) had definitive TBM, 17 (42.5%) had probable TBM and 17 (42.5%) had possible TBM. The cerebrospinal fluid (CSF) chemistry and cells were abnormal in 39/40 (98%). Mantoux test was reactive in 16/29 (55%) and 17/30 (57%) had Chest X-rays suggestive of tuberculosis. Only 3/21 (14%) had positive sputum tuberculosis culture and 89% (32/36) had neuro-imaging abnormalities. Outcome at discharge was; 8% died, 49% improved with neurological sequelae and 43% improved without sequelae. Having TBM stage 3 at admission was associated with mortality (p=0.001). CONCLUSIONS: Most children had early diagnosis of TBM and mortality was lower than in previous studies. We recommend a larger prospective study to further understand the outcome of TBM. |Antitubercular Agents/therapeutic use [MESH] |Child, Preschool [MESH] |Head/diagnostic imaging [MESH] |Humans [MESH] |Incidence [MESH] |Infant [MESH] |Magnetic Resonance Imaging [MESH] |Male [MESH] |Mycobacterium tuberculosis/*isolation & purification [MESH] |Retrospective Studies [MESH] |Severity of Illness Index [MESH] |South Africa/epidemiology [MESH] |Survival Rate [MESH] |Tomography, X-Ray Computed [MESH] |Treatment Outcome [MESH]Presentation and outcome of tuberculous meningitis among children: exp(epmc).pdf DeepDyve Pubget Overpricing