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CLINICAL AND SUBCLINICAL CHARACTERISTICS AND TREATMENT RESULTS OF TUBERCULOSIS MENINGITIS AT PHAM NGOC THACH HOSPITAL
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Abstract
Objective: Describe some clinical and subclinical characteristics and treatment results of tuberculous meningitis at Pham Ngoc Thach Hospital. Subject and methods: Retrospective study of medical records. Results: Common clinical symptoms at the time of admission: headache (87.2%), fever (55.1%), stiff neck (59%). Blood sodium concentration was 129.7 (111 – 142) mmol/L. The rate of tuberculosis abnormalities on plain chest X-rays is 50%. The number of patients with cerebrospinal fluid protein greater than 1 G/L is 46 patients, accounting for 59%, the number of patients with CSF glucose/blood glucose ratio < 0.5 in 66 patients (84.6%), the number of patients with CSF glucose/blood glucose ratio < 0.5 in 66 patients (84.6%). Cerebrospinal fluid cells were 100 - 500/mm3 in 34 patients, accounting for 43.6%, and 75 patients (96.2%) had a predominance of lymphocytes. The rate of treated patients with improved results at the time of discharge was 79.5%. Conclusion: Clinical symptoms are not specific, so other tests should be combined for a better diagnosis of tuberculosis meningitis.
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Keywords
Tuberculosis Meningitis, clinical characteristics, subclinical characteristics.
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