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Coordinating care in the specialist setting: Tuberculosis Meningitis
Pages 16 (4016 words)
TOPIC: Coordinating Care in the Specialist Setting – Tuberculosis Meningitis History of the Patient: This is the case of a 48 year old, female patient named MJ, who presented with complaints of three month history of headache, tiredness, and fever. MJ was self – medicating with Paracetamol 500 mg on as needed basis for fever and Mefenamic Acid 500 mg for body malaise and headache.
Background: Tuberculosis meningitis is an infection caused by Mycobacterium tuberculosis that initially starts as an infection in the lungs, and progressively develops in the bloodstream once the bacteria have multiplied. In TB meningitis, Mycobacterium tuberculosis eventually spread through the meninges of the brain or the spinal cord (Meningitis UK, 2009). It is the most destructive form of meningitis, and the key to its management lies on its prompt diagnosis (Haldar, et al., 2009). Meningitis UK (2009) stated that TB meningitis is formed when small abscesses called tubercles bursts in the meninges. This condition is considered as fatal when treatment is delayed. Tuberculosis is the severest form of Mycobacterium tuberculosis and is the leading cause of fatality around the world. Mycobacterium tuberculosis starts as a solitary communicable agent that commonly affects the lungs, even though almost every organ in the body is involved (Newton, 1994, Thwaites, et al. 2004, and WebHealthCentre, 2009). Looking back, tuberculosis had already existed even before the Neolithic period. The only treatment available till the early 20th century was to rest in the open air in a place known as specialised sanitoria (WebHealthCentre, 2009). ...
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