Chronic Meningitis (Cryptococcal & Tuberculosis Meningitis) by Dr. Teke Apalata, MD, PhD. скачать в хорошем качестве

Chronic Meningitis (Cryptococcal & Tuberculosis Meningitis) by Dr. Teke Apalata, MD, PhD.

Chronic inflammation in the cerebrospinal fluid (CSF) and meninges can be a diagnostic dilemma for the clinicians. Early recognition, diagnosis, and treatment are important for improving morbidity and mortality. Chronic meningitis is commonly defined as inflammation persisting for at least 1 month without spontaneous resolution. The differential diagnosis for chronic meningitis is long and can be divided into 3 categories: infectious, inflammatory, and neoplastic. To arrive at an accurate diagnosis, the clinician must first acquire a detailed patient history including symptomatology, time course, systemic symptoms, travel history, exposures, and factors such as intravenous drug abuse, medications, and overall immune status of the patient. These important details of the patient history will serve as a guide for determining workup and treatment.