Tuberculosis granuloma formation

Make sure the patient has a negative background Tuberculosis granuloma formation for bacillus Calmette-Guerin (BCG). Walker et al reported that BCG vaccination partial protection against TB meningitis; Therefore, BCG vaccination history or the presence of a BCG vaccination scar give some certainty to patients with clinically suspected TBM to consider the diagnosis of TBM (class C) [19], the diagnosis should be strictly investigated.; history of BCG vaccination diagnosis (class C) are not exclusive.

tuberculosis granuloma formation

Tuberculosis granuloma formation

In immunocompetent individuals, the central nervous system (CNS) TB usually takes the form of a sub-acute meningitis that acute illness characterized by fever, headache, drowsiness, view ism, and caused confusion within approximately 2-3 weeks.
Typically, the symptoms are non-specific present during the prodromal period, including fatigue, malaise, fever and myalgia. In one study, only 2% of patients meningitis symptoms. Presenting symptoms can vary from one day to nine months, although the duration of the 55% had symptoms for less than 2 weeks.
Often in the first phase of meningitis patients had upper respiratory tract infections, a fact that should be kept in mind while at the same fever and irritability or lethargy seemed out of proportion to the apparent infection or persistent symptoms after a general improvement in the local market events. Fever and headache may be absent in 25% of patients, and the discomfort may not exist within a maximum of 60% of the patients. Headache and altered mental status are much more common in the elderly.
Mycobacterium tuberculosis of the meninges, the main function and inflammation is concentrated to the base of the brain. When the ignition is in the range of subarachnoid brain stem to the roots of the cranial nerves are affected. Space occupying lesions are similar to the symptoms. [1] The infection starts in the lungs and can spread to the meninges through various routes.
The transfer occurs through blood and at least 25% of patients with miliary TB TB meningitis, probably because of the blood-brain barrier, [2], but the part of the patient can develop TB meningitis in cortical brain Break-focus (an approach called Rich); get even less than spinal fractures in focus. Tuberculosis granuloma formation Very rare and unusual for tuberculosis of the spine that causes tuberculosis of the central nervous system, but isolated cases described.

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