Update on tuberculosis of the central nervous system: pathogenesis, diagnosis, and treatment.
Tuberculous meningitis is the most dangerous form of tuberculosis, yet our understanding of disease pathogenesis is based upon studies performed in the 1920s, our diagnostic methods are dependent upon those developed in the 1880 s, and our treatment has advanced little since the introduction of isoniazid in the 1950s. The authors focus this review on three important questions. First, how does Mycobacterium tuberculosis reach the brain? Second, what is the best way of identifying patients who require early empiric antituberculosis therapy? Third, what is the best way of managing tuberculous hydrocephalus?
Thwaites
Guy E
GE
Department of Microbiology, Imperial College, South Kensington, London, SW7 2AZ UK. guy.thwaites@btinternet.com
Schoeman
Johan F
JF
D000818:Animals; D000995:Antitubercular Agents / Q000627:therapeutic use*; D002490:Central Nervous System / Q000382:microbiology*; D003943:Diagnostic Techniques, Neurological; D006801:Humans; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D020306:Tuberculosis, Central Nervous System / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology
D000995:Antitubercular Agents