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Treatment of TB meningitis
bulletIsoniazid 5-10mg/kg/day up to 300 mg/day, for 12 months,
bulletwith Pyridoxine 50 mg qd to prevent peripheral neuropathy
bulletplus Rifampin 10-20 mg/kg/day up to 600 mg/day for 12 months
bulletplus Pyrazinamide 15-30 mg/kg/day up to 2 g per day
bulletDiscontinue Pyrazinamide after 8 weeks if good response
bulletImmunocompromised patient:
bulletabove plus Ethambutol
bullettreat for 2 years
bulletMay add Dexamethasone 0.3-0.5 mg/kg/day for 1 week then oral prednisone
Further reading: 
bulletCore curriculum on TB - CDC
bulletIdentification and Management of Tuberculosis - AFP May 2000

Neuro infection info center

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