Areas of the world that have a high incidence of TB:
Africa
South East Asia
Eastern Mediterranean
Western Pacific
Russia
China
South America
People working or travelling in these areas should seek advice about
BCG vaccination. In areas of the world where the incidence of TB is
high, TB meningitis is most common in children under five. Where the
incidence of TB is low, most TB meningitis cases are in adults.
How is TB meningitis treated?
Due to the slow progression and non-specific early symptoms of TB
meningitis, diagnosis can be difficult. However, research has shown
that early diagnosis and treatment can significantly improve the
outcome of the disease.
If treatment is started early, most people will make a good recovery
provided that the treatment course is completed
TB meningitis requires admission to hospital and close monitoring to
assess the progression of the disease
Each patient will be individually assessed and their care planned
accordingly. All patients will be given a combination of antibiotics to
treat the infection
In the UK, isoniazid, rifampicin, pyrazinamide and a fourth drug (e.g.
ethambutol) are usually given for the first two months, followed by
isoniazid and rifampicin for the next ten months. This combination is
given to reduce the risk of antibiotic resistance developing
Treatment may vary according to the response of the individual
patient
Drug resistant TB meningitis may require long schedules of treatment
with a variety of alternative antibiotics. A steroid (e.g. prednisolone) is
also often recommended for the first few weeks of treatment
It is essential that the full course of treatment is completed. This will
reduce the risk of the disease returning and of the bacteria becoming
resistant to the antibiotics
Reference:
https://www.meningitisnow.org/meningitis-explained/what-is-meningitis/types-and-causes/tb-
meningitis/