Advancing Diagnosis and Treatment in People Living with HIV and Tuberculosis Meningitis.

ABSTRACT:

Purpose of review

Tuberculous meningitis (TBM) is the most severe form of tuberculosis. Inadequate diagnostic testing and treatment regimens adapted from pulmonary tuberculosis without consideration of the unique nature of TBM are among the potential drivers. This review focuses on the progress being made in relation to both diagnosis and treatment of TBM, emphasizing promising future directions.

Recent findings

The molecular assay GeneXpert MTB/Rif Ultra has improved sensitivity but has inadequate negative predictive value to "rule-out" TBM. Evaluations of tests focused on the host response and bacterial components are ongoing. Clinical trials are in progress to explore the roles of rifampin, fluoroquinolones, linezolid, and adjunctive aspirin. Though diagnosis has improved

SUBMITTER: Kimuda S 

PROVIDER: S-EPMC10719136 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature