Meningitis tuberculosa en el Hospital Vicente Corral Moscoso, Cuenca 1990-1999

Abstract

Descriptive study in 69 patients with a diagnosis of tuberculous meningitis, between 16 and 74 years, reviewing in each medical history. The incidence rate was 57.35 per 10,000 discharges department clinic HVCM In 1994 the highest incidence was recorded with 13casos. There was an increase of casuistry in June, August and December. The most affected age groups were the 40-49 [24.64 per cent] 20-29 [23.19 per cent] and 30 to 39 [20.29 per cent]. It predominance of males with 58 percent. Rural residence reached 77 percent of cases. A 47.83 percent had an evolution of clinical picture of 1-4 weeks. Signs and symptoms are: impaired consciousness, headache, meningeal irritation, fever, nausea and vomiting, motor deficit, cranial neuropathy, seizures, papilledema. The sputum smear was positive in 4 percent of patients; chest radiography established prior pulmonary tuberculosis [5.80 percent] and concomitant [47.82 per cent]. The study was conpatible CSF in 59 patients. CT skull performed in 42 cases, it was normal in 11, in 12 hicrocefalia revealed in Tuberculomas and 9. For treatment schemes three and four drugs were used; corticosteroids were used in 54 cases. At discharge showed improvement one 73.91 percent of patients; and a mortality rate of 10.14 percent