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tuberculous meningitis


There is usually a complication of disseminated tuberculosis. Suffer mostly children. The child becomes drowsy, lethargic, pale, irritable, appears low-grade fever. Later sharply intensified headaches that cause a patient stops, shouts, photophobia, the temperature rises to 39 ± C. Drowsiness sometimes comes to express the state of stunned. Less common are agitation, delusions or jerking. Characteristic tension neck and abdominal muscles drawn in the stomach, bent leg position, positive meningeal symptoms, a large protrusion rodnichkau children. The defeat of the cranial nerves causes strabismus, ptosis century assimetrik) persons uneven pupils. The pressure of the cerebrospinal fluid increased sharply, it is determined by the increased number of lymphocytes and protein, the sugar content is reduced by centrifugation detected Mycobacterium tuberculosis.
Recognition:
Based on the presence of tuberculosis and the exclusion of other diseases - mumps, otitis media, sinusitis, primary lymphocytic meningitis. From purulent meningitis is characterized by gradual onset, symptoms and a characteristic change in the cerebrospinal fluid.
Forecast. Timely properly begun treatment can cure 95% of patients.
Musculoskeletal dvpgatelyyugo system (bones and joints) tuberculosis. It is the result of introduction of infection in the bone hematogenous route from the primary tumor (lung, lymph nodes). There is inflammation of the bones - osteitis, from process spreads to a nearby joint. Furthermore, there may be arthritis toksikoallergicheskie character.