Tuberculous meningitis with acellular cerebrospinal fluid in AIDS patients.
OBJECTIVE
To describe the clinical manifestations of tuberculous meningitis in HIV-positive patients with acellular cerebrospinal fluid (CSF).


METHODS
Retrospective analysis of case reports.


METHODS
Four HIV-positive patients with acellular CSF and tuberculous meningitis are reported.


RESULTS
Clinical presentation did not indicate meningeal infection in three of the four cases, and CSF tests were unusual in all cases. Two patients were diagnosed only after death.


CONCLUSIONS
Acellular CSF may obstruct the diagnosis of tuberculous meningitis in AIDS patients.
Laguna
F
F
Centro Nacional de Investigacion, Instituto de Salud Carlos III, Madrid, Spain.
Adrados
M
M
Ortega
A
A
Gonzalez-Lahoz
J M
JM
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000175:diagnosis; D000328:Adult; D002555:Cerebrospinal Fluid / Q000166:cytology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014390:Tuberculosis, Meningeal / Q000150:complications*