Stroke Community

I am sorry to hear about your mother . Can you answer a few question for me?
1. Where does your mother live. This will give me an idea of the resources available to her.

2. Do you know the name of thebacteria that caused the meningitis?

3. How long has it been since they started tretament with antibiotics and is she still on the medicine?

I will try to see if we can provide any suggestions to you.

Dear Doctor,

Thanks for replying,

1) My mother lives in India (Near Chennai)
2) I don't know eaxctly, but in the reports they have mentioned is Myco Bacteria
3) Its been 4 months since she is getting anti biotics, yes she is still on medicine..
:
The mail from the doctor who is taking care of my mother is below

Dear Haseeb,

I am sorry for the delay in replying to your e.mail. Your mother has been diagnosed to have TB meningitis based on her history, physical examination, CSF and MRI brain findings. In her case, the culture from the CSF has not grown any TB bacilli. In most with TB meningitis this is also the case. The treatment for TB meningitis is usually started based on the science and symptoms, CSF and scanning reports and that is what we have done for your mother. Some percentage of people has TB meningitis do not respond adequately to medications. When the patient does not respond, we mean that they continue to have complications like hydrocephalous and stroke like your mother has. As the culture has not shown any resistant organism, we can not say that she has drug resistant TB but we have considered that issue also. Her present condition is consequence of TB meningitis and we have not find any other diagnosis so far. This diagnosis has also been confirmed by the neurologist. There was suggestion of brain biopsy to get 100% proof of TB but it is not possible in her present condition. As I mentioned earlier, a certain percentage of people with TB meningitis do not respond to therapy and we can only give supportive care as in the case of your mother.

The PMR doctors wish to give a home programme rather than admit under them because in their experience they find that patient with TB meningitis do not benefit by admission under PMR. We understand your distress about your mother's condition but we will be unable to keep in hospital after a period of time. She is right now in a chronic stable consition and she will need to be under follow up on therapy. You have asked about night sweats and her cold hands. I have explained the reason for this to your sister. The problem is more of the type of disease than the therapy. Unfortunately some patients with TB meningitis do not recover as expected.

Thank you,
Dr. Sowmya


(Please help me Doctor, i want my mother.. Please help)

Please let me know if you need any details, i have full medical summary, but i cannot attach here..

Please help me..

- Haseeb

Thank you for sending such a comprehensive report. It appears you mother's doctors have done all the right things. It also seems that she is too sick to benefit from a rehabilitation hsopital at this point. We rarely see TB Meningitis in the United States. I saw quite a few cases in children coming from near the Mexico border when I first went into practice. Unfortunately it is a very serious disease that is very hard to treat. The doctor's note suggests that they have done all the right things and that inspite of those measures, the disease has the upperhand.

Here is a link to an excellnt review of TB Meningitis. It won't make you feel any better about this unfortunate situation, but it should help you see that she is getting the care she needs.

http://emedicine.medscape.com/article/1166190-overview#a0101

I wish I could have been more help.

Dear Doctor,

Any possibility, can she be alive, can she come out of these strokes? can she be atleast normal to atleasat 50%,

Please reply based on your experience..

with skin breakouts that shows up such as bruises.

There is always a traditional group of signs or symptoms in which healthcare workers easily use in the particular identification of meningitis. These are generally nuchal stiffness, transformed mind standing and also a abrupt oncoming of great temperature. While each one of these 3 are mixed together, there exists a substantial possibility in which a particular person has got meningitis. Even so, these don't always exist in individuals with meningitis because there are in addition additional indicators. However, if you go through any kind of of these 3, far better speak to your medical professional quickly in order that treatment will be provided to you personally.

Meningitis signs or symptoms normally present throughout the initial One day on the start of the ailment. That generally appear in regarding 25% of those who find themselves suffering from this condition. Regarding the other folks, there'll be a continuous displaying of signs or symptoms that will occur in one day to a 7 days. If you're presently having anti-biotics just for the treatment method of a present an infection, the meningitis signs will need a longer timeframe to build up. Regarding the signs and symptoms of fungus meningitis such as Human immunodeficiency virus, these will require weeks to advance.

Meningitis is treatable and other difficulties might be prevented if a person learns how to recognize the actual indicators. Understanding the different meningitis signs as well as the particular moment they are designed, it will be possible to learn if you head over to the medical professional. Don't forget to never overlook these kinds of meningitis signs and also to look for the treatment solution whenever you could.