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Coordinating care in the specialist setting: Tuberculosis Meningitis - Essay Example

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TOPIC: Coordinating Care in the Specialist Setting – Tuberculosis Meningitis History of the Patient: This is the case of a 48 year old, female patient named MJ, who presented with complaints of three month history of headache, tiredness, and fever. MJ was self – medicating with Paracetamol 500 mg on as needed basis for fever and Mefenamic Acid 500 mg for body malaise and headache…
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Coordinating care in the specialist setting: Tuberculosis Meningitis
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Download file to see previous pages Background: Tuberculosis meningitis is an infection caused by Mycobacterium tuberculosis that initially starts as an infection in the lungs, and progressively develops in the bloodstream once the bacteria have multiplied. In TB meningitis, Mycobacterium tuberculosis eventually spread through the meninges of the brain or the spinal cord (Meningitis UK, 2009). It is the most destructive form of meningitis, and the key to its management lies on its prompt diagnosis (Haldar, et al., 2009). Meningitis UK (2009) stated that TB meningitis is formed when small abscesses called tubercles bursts in the meninges. This condition is considered as fatal when treatment is delayed. Tuberculosis is the severest form of Mycobacterium tuberculosis and is the leading cause of fatality around the world. Mycobacterium tuberculosis starts as a solitary communicable agent that commonly affects the lungs, even though almost every organ in the body is involved (Newton, 1994, Thwaites, et al. 2004, and WebHealthCentre, 2009). Looking back, tuberculosis had already existed even before the Neolithic period. The only treatment available till the early 20th century was to rest in the open air in a place known as specialised sanitoria (WebHealthCentre, 2009). ...
980s, a steady decline of cases was observed among developed countries; however, this was reversed due to the combination of several factors that includes social, economical, and historic. All of which were responsible for urban homelessness, intravenous abuse of drugs, a rising neglect of control programs on tuberculosis, and recently, epidemic of AIDS (WebHealthCentre, 2009). According to Thwaites, et al., (2004), in spite of being treated with antituberculosis chemotherapy, tuberculous meningitis oftentimes results to death or severe neurologic deficits. Although uncommon in the developed countries like the United Kingdom (UK), there are still about 300 cases of TB meningitis that has been reported in the year 2007 (Meningitis UK, 2009). And despite of optimal treatment, Nardell (2009) stated that TB meningitis is possibly fatal in about 25 percent of cases. Assessment: Based on the history and presenting signs and symptoms, MJ is suspected to have a Tuberculous Meningitis. MJ presented with complaints typical for Tuberculous Meningitis during its early stage of development, which is called the prodromal period. MJ’s complaints of headache, tiredness, and fever and later on, altered levels of consciousness are typical for Tuberculous Meningitis. Ramachandran (2011) stated in his article, that nonspecific symptoms for tuberculous meningitis during the prodromal period include fatigue, malaise, myalgia, and fever. Ramachandran added that in the elderly, more common symptoms of TB meningitis presents in the form of headache and changes in the mental status and all of the symptoms mentioned by Ramachandran are presented by the patient, MJ at the time of admission. Identifications and Investigations: In managing TB meningitis, arriving at a rapid and accurate diagnosis ...Download file to see next pagesRead More
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