Emerging Infectious Diseases (Mar 2022)

Treatment Outcomes of Childhood Tuberculous Meningitis in a Real-World Retrospective Cohort, Bandung, Indonesia

  • Heda M. Nataprawira,
  • Fajri Gafar,
  • Nelly A. Risan,
  • Diah A. Wulandari,
  • Sri Sudarwati,
  • Ben J. Marais,
  • Jasper Stevens,
  • Jan-Willem C. Alffenaar,
  • Rovina Ruslami

DOI
https://doi.org/10.3201/eid2803.212230
Journal volume & issue
Vol. 28, no. 3
pp. 660 – 671

Abstract

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We retrospectively evaluated clinical features and outcomes in children treated for tuberculous meningitis (TBM) at Hasan Sadikin Hospital, Bandung, Indonesia, during 2011–2020. Among 283 patients, 153 (54.1%) were 38°C, stage III TBM, and baseline motor deficit. Despite treatment, childhood TBM in Indonesia causes substantial neurologic sequelae and death, highlighting the importance of improved early diagnosis, better tuberculosis prevention, and optimized TBM management strategies.

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