[Cerebromeningeal tuberculosis: 15 pediatric cases].
Fifteen patients (9 girls and 6 boys) with different forms of cerebromeningeal tuberculosis (meningitis: 13 cases, tuberculoma: 2 cases) was reported. Their mean age was 6 years (4 months to 14 years). The initial diagnosis was difficult. Half patients had meningism, abnormal mental state and defects signs. The cerebrospinal fluid (CSF) leukocyte count was > 20/mm3, protein > 1 g/l (66%) and glucose < 2.2 mmol/l (80%). BK was isolated in 7 patients. Five patients (33%) died. Major neurological sequelae developed in 5 patients and 5 patients completely recovered. Factors predicting fatal outcome and permanent sequelae were: diagnosis delay, altered level of consciousness, hypotrophy and low glucose level in CSF.
Ould Khalifa
I
I
Service de pédiatrie, CHU Farhat Hached, Sousse.
Selmi
H
H
Tabaeki
B
B
Ould Beddi
M
M
Sidi Mohamed
A O
AO
Yacoub
M
M
Sahloul Essoussi
A
A
D000293:Adolescent; D002555:Cerebrospinal Fluid / Q000737:chemistry / Q000166:cytology; D002648:Child; D002675:Child, Preschool; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007223:Infant; D007958:Leukocyte Count; D008297:Male; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D020306:Tuberculosis, Central Nervous System / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000188:drug therapy / Q000401:mortality