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What Causes Headache, Vomiting And Stiff Neck While Suffering From Tuberculous Meningitis?
Hi respected physicians My wife is suffering from TB meningitis from 7.2.2017. Her age 33. She was admitted in hospital for 14 days. Her csf showed 95 % proteins and 100 percent lymphocytes. Now she s taking TB medicines Myrine P Forte containg isoniazid rimpaficin and ethambutal etc plus steroids. Currently she feels noise in head, headache, vomiting and visual turbidity while neck stiffness has shown reduction in two weeks treatment. But the main thing i want to bring in to notice is that temperature of 101 0r102 appears after 2-3 days gap and 100 temp is more often.We did LFT test in that SGPT is higher than 200 and her bilirubin level is slightly above 2. One doctor told me to stop medicine of TB for obe week and when LFTs normalise then start again. But i worry that stopping ATB in tubercular meningites would be dangerous. Kindly suggest me her situation about 1 fever 2 ATB continuty gap 3 abnormal sgpt I ll be highly thankful. Saify Email YYYY@YYYY
Thu, 22 Nov 2018
Hi,
Sorry to hear of her disease.
Headache and fullness do occur in TBM. However, generally, fever settles in two weeks. If she still have fever that need consideration.
Similarly, we do need to stop ATT if liver enzymes are so raised howe'ver in case of meningitis, we do not stop it altogether, rather we stop these drugs and start other drugs that don't damage liver but work for TB.
So don't stop it your self, I would suggest you should urgently talk to your doctor.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Mahboob Ur Rahman,
General & Family Physician
Sorry to hear of her disease.
Headache and fullness do occur in TBM. However, generally, fever settles in two weeks. If she still have fever that need consideration.
Similarly, we do need to stop ATT if liver enzymes are so raised howe'ver in case of meningitis, we do not stop it altogether, rather we stop these drugs and start other drugs that don't damage liver but work for TB.
So don't stop it your self, I would suggest you should urgently talk to your doctor.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Mahboob Ur Rahman,
General & Family Physician
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