Is tuberculous meningitis a serious illness?

Patient's question:

My colleague is 39 years old this year. Recently, I don't know what happened, and they have been staying in the hospital. Later, it was said to be meningitis. I feel it is still very serious. I want to know if tuberculous meningitis cerebrospinal fluid is very serious and if it can be cured.

Doctor's answer:

Tuberculous meningitis is a severe condition because Mycobacterium tuberculosis not only affects the meninges but also easily impacts the blood vessels of the brain parenchyma, making it prone to recurrent cerebral infarction, intracerebral hemorrhage, and other complications such as psychiatric abnormalities. Moreover, the inflammation caused by Mycobacterium tuberculosis is fibrinous, which can easily lead to obstruction in the cerebrospinal fluid circulation pathway, resulting in intracranial hypertension, and even herniation of the brain. It is recommended to administer sufficient antitubercular medication to the patient immediately.

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