What are the symptoms of tuberculous meningitis in children?

Patient's question:

My daughter is two years old. The doctor suspects she has tuberculous meningitis. What are the symptoms of pediatric tuberculous meningitis?

Doctor's answer:

The patient in the early stage: apathy, alternating irritability, personality changes. In the middle stage: also known as the period of meningeal irritation, the most characteristic symptom is bulging fontanelles. In the late stage: coma, repeated convulsions. Anti-tuberculosis treatment, intensive phase for 4 months, consolidation phase for 2 months, with prednisone added in the early stage for 2-3 months. Since the widespread vaccination of BCG and the effective use of anti-tuberculosis drugs, the incidence of this disease has significantly decreased compared to the past, and the prognosis has greatly improved. The combined use of anti-tuberculosis drugs that can easily penetrate the blood-brain barrier, and stage-based treatment.

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