European Journal of Pediatrics

, Volume 159, Issue 7, pp 535–538

Tuberculous meningitis in children: problem to be addressed effectively with thorough contact tracing

Authors

  • Rajneesh Walia
    • Children's Intensive Care Unit, Children's Hospital, The Leicester Royal Infirmary NHS Trust, Leicester LE1 5WW, UK e-mail: rajwalia@hotmail.com
  • Wren Hoskyns
    • Children's Intensive Care Unit, Children's Hospital, The Leicester Royal Infirmary NHS Trust, Leicester LE1 5WW, UK e-mail: rajwalia@hotmail.com
ORIGINAL PAPER

DOI: 10.1007/s004310051327

Cite this article as:
Walia, R. & Hoskyns, W. Eur J Pediatr (2000) 159: 535. doi:10.1007/s004310051327

Abstract

Worldwide, tuberculosis is the most common cause of death from a single infectious agent in children. There has been an increase in its incidence in Europe in recent years. Early diagnosis of tuberculous meningitis in children is extremely difficult because of its nonspecific early presentation and it is universally fatal if not recognised and treated. Young children are at increased risk of acquiring tuberculosis and it is more likely to be disseminated in neonates. In summarising the cases of three children with tuberculous meningitis admitted to our centre, we highlight the importance of diagnosis and contact tracing of the source case.

Conclusion Diagnosis of tuberculous meningitis requires a high index of suspicion, thorough contact tracing, and appropriate investigations with early treatment as the key to reducing morbidity and mortality.

Key words Tuberculosis Tuberculous meningitis Contact tracing Early diagnosis

Copyright information

© Springer-Verlag Berlin Heidelberg 2000