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7.1.5

TB meningitis

National TB Management Guidelines, 2018 Edition. Chapter 7, Tuberculosis Management and Monitoring.

Clinical description

The regimen for TBM is 2SRHZE/7RH, i.e., two months of streptomycin plus FDC RHZE given daily under close supervision, followed by seven months of daily RH.

Corticosteroids should be given with the anti-TB drugs as they have been shown to significantly reduce the risk of death in patients with TB meningitis (see Table 7.16).

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