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Is Miliary Tuberculosis In Brain Curable?

My wife was suffering from Miliary TB from october 2011 . she was in the medication from OCTOBER 2011 TO january 2013 but suddenly in june 2013 she has TB in Brain. she had seziures twice . now she is into medication.

what should we do ???? is it fully cureable ???/
if yes how we should cope with it ??
Mon, 8 Sep 2014
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Diabetologist 's  Response
Hi, welcome to our site. I am Dr Saumya Mittal, MD.

Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query

Miliary TB is a form of tuberculosis that involves the entire body. All the systems of the body are affected in this condition. The lungs, heart, stomach and intestines, and even the bones can get involved in this condition.

There is a possibility that the TB bacteria survived in her brain. The TB bacteria can form small focus of infection in the brain called tuberculoma. Or they can cause a generalized infection called TB meningitis. The most common manifestation of the meningitis is seizures and altered sensorium.

The TB meningitis, may be treatable if the patient is not immunocompromised or if the other systems hold out. Besides the bacteria should be susceptible to the antibiotics given. yes, in a world full of antibiotic resistant bacteria, even TB bacteria are getting resistant to antibiotics and these are harder to kill.
A suitable culture sensitivity may help diagnose the type of bacteria.

If she gets effects of the medicine and starts getting better, chances are she will heal completely.

Monitor her liver function tests

I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.

I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.

Please do understand that some details could be extracted from a detailed history and examination.

Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.
Dr Mittal.
MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
Consultant Physician and Diabetologist
JS Hospital
Ex Apollo Hospital, Delhi
Ex Kailash Hospital, Noida
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Is Miliary Tuberculosis In Brain Curable?

Hi, welcome to our site. I am Dr Saumya Mittal, MD. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query Miliary TB is a form of tuberculosis that involves the entire body. All the systems of the body are affected in this condition. The lungs, heart, stomach and intestines, and even the bones can get involved in this condition. There is a possibility that the TB bacteria survived in her brain. The TB bacteria can form small focus of infection in the brain called tuberculoma. Or they can cause a generalized infection called TB meningitis. The most common manifestation of the meningitis is seizures and altered sensorium. The TB meningitis, may be treatable if the patient is not immunocompromised or if the other systems hold out. Besides the bacteria should be susceptible to the antibiotics given. yes, in a world full of antibiotic resistant bacteria, even TB bacteria are getting resistant to antibiotics and these are harder to kill. A suitable culture sensitivity may help diagnose the type of bacteria. If she gets effects of the medicine and starts getting better, chances are she will heal completely. Monitor her liver function tests I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this) Best of luck. Dr Mittal. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology) Consultant Physician and Diabetologist JS Hospital Ex Apollo Hospital, Delhi Ex Kailash Hospital, Noida