Tuberculous meningitis (TBM): immune reconstitution inflammatory syndrome (IRIS)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Tuberculous meningitis (TBM): immune reconstitution inflammatory syndrome (IRIS). This develops in association with anti-retroviral (ARV) treatment of HIV.

Pathogenesis

  • This develops in association with anti-retroviral (ARV) treatment of HIV
  • It starts after a median of 14 days after treatment

Risk factors

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Clinical features

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Treatment

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Prevention

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References

  1. Marx GE, Chan ED. Tuberculous meningitis: diagnosis and treatment overview. Tuberc Res Treat 2011; 2011:798764.
  2. Thwaites GE, van Toorn R, Schoeman J. Tuberculous meningitis: more questions, still too few answers. Lancet Neurol 2013; 12:999–1010.
  3. van Toorn R, Rabie H, Dramowski A, Schoeman JF. Neurological manifestations of TB-IRIS: a report of 4 children. Eur J Paediatr Neurol 2012; 16:676-682. 

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