Clinical Features and Outcome in Adult Cases of Tuberculous Meningitis in Tertiary Care Hospital in Antananarivo, Madagascar
Joint Authors
Raberahona, Mihaja
Rakotoarivelo, Rivonirina A.
Razafinambinintsoa, Tiana
Randria, Mamy J. D. D.
Andrianasolo, Radonirina Lazasoa
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-15
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Purpose.
We aimed to describe and to assess prognosis factors in tuberculous meningitis in adult patients.
Methods.
We performed a retrospective study of case records of adult patients.
Patients classified as definite, probable, or possible tuberculous meningitis according to standardized definition criteria were included and assessed in the study.
Results.
Seventy-five patients were included in the study.
Tuberculous meningitis was classified as definite in 8 (10.7%), probable in 44 (58.7%), and possible in 23 patients (30.6%).
HIV was found in 3% of patients.
Patients were in advanced stages at admission in 82.7%.
Median duration of symptoms prior to admission was 3 weeks (IQR: 2–5).
Median time to diagnosis following admission was 5 days (IQR: 3–8).
Median CSF WCC was 75 per mm3 with lymphocytic predominance in 38 cases (52.8%).
Median CSF glucose level was 1.48 mmol/L and median CSF protein level was 1 g/L.
Mortality rate was 28%.
Age ≥ 35 years (aOR: 4.06; 95% CI: 1.16–14.26) and coma (aOR: 12.98; 95% CI: 1.13–149.16) predicted inpatient mortality.
Conclusion.
Most of the patients experienced more than 3 weeks of diagnostic delay prior to admission.
Mortality was high and occurred early after admission.
Age and coma were identified as independent prognosis factors.
American Psychological Association (APA)
Raberahona, Mihaja& Rakotoarivelo, Rivonirina A.& Razafinambinintsoa, Tiana& Andrianasolo, Radonirina Lazasoa& Randria, Mamy J. D. D.. 2017. Clinical Features and Outcome in Adult Cases of Tuberculous Meningitis in Tertiary Care Hospital in Antananarivo, Madagascar. BioMed Research International،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1139462
Modern Language Association (MLA)
Raberahona, Mihaja…[et al.]. Clinical Features and Outcome in Adult Cases of Tuberculous Meningitis in Tertiary Care Hospital in Antananarivo, Madagascar. BioMed Research International No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1139462
American Medical Association (AMA)
Raberahona, Mihaja& Rakotoarivelo, Rivonirina A.& Razafinambinintsoa, Tiana& Andrianasolo, Radonirina Lazasoa& Randria, Mamy J. D. D.. Clinical Features and Outcome in Adult Cases of Tuberculous Meningitis in Tertiary Care Hospital in Antananarivo, Madagascar. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1139462
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1139462