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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Is Suggested For Initial Stage Of Brain Tuberculosis?

My wife is admitted after one week of headache & dengue report positive after 4 days of treatment in hospital her severe headache continued so we did MRI / CT SCAN & came normal ,next day she had problem in her eye sight that her eyeballs not moving simultaneously & she started seeing things double so we did Lumbar Puncher test in which it came ADA (Adenosine deminase ) 10.40 units/L normal limit is 10 - lymphocytes 100% so doctor said it's a sign of initial stage ofbrain tuberculosis .
Next day doctor started giving her New medicine after LP report
R-Cinex 450
Pyzina 500
Combutol 800
Ofloxacin 400
All schedule H drugs(steroids)
Two days she had some relief in her pain today again she started complaining severe headache.
If any doctor can give some advice it will be a great help.
Mon, 6 Oct 2014
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Internal Medicine Specialist,  's  Response
If it is CNS tuberculosis then continue with medications prescribed. They are in adequate doses. Ofloxacin can be withheld. Please mention detailed MRI (preferably contrast ) findings to comment better. Also go for CSF TB pcr and protein level in CSF, chest X ray, man tour test. CSF picture in this case is not classical of TuberculosisHope my answer will help you. Take care. Don't forget to rate me.
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What Treatment Is Suggested For Initial Stage Of Brain Tuberculosis?

If it is CNS tuberculosis then continue with medications prescribed. They are in adequate doses. Ofloxacin can be withheld. Please mention detailed MRI (preferably contrast ) findings to comment better. Also go for CSF TB pcr and protein level in CSF, chest X ray, man tour test. CSF picture in this case is not classical of TuberculosisHope my answer will help you. Take care. Don t forget to rate me.