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Objective: This study aimed to compare the characteristics of the tuberculous meningitis (TBM) patients with and without\udmiliary tuberculosis (TB).\udMethods: Twenty-five patients with miliary TB of 160 patients with TBM were included in this retrospective study. Diagnosis\udof TBM was based on anamnesis, clinical and laboratory results, neuroradioogical signs and “Thwaites’ Diagnostic\udIndex” while miliary TB was diagnosed by radiological imaging. Statistical analyses were performed using Chi-square\udtest.\udResults: Of 25 patients with miliary TB, 14 were female and the median age was 35.3. Ages ranged between 20-35\udand 17-78 years in male and female subjects, respectively. Most common symptoms at baseline were headache (84%),\udmalaise-anorexia (68%) and nausea-vomiting (64%) while the most common findings were nuchal stiffness (84%) and\udfever (68%). The patients with miliary TB revealed longer symptom duration and higher rates of malaise-anorexia, night\udsweats, weight loss and higher protein levels in CSF than the others (p<0.05).\udConclusion: Miliary TB could be an indicator for TBM in countries with high prevalence of TB. Female predominance,\udlonger symptom duration and higher protein levels in CSF were remarkable in the patients with TBM accompanied by\udmiliary TB. J Microbiol Infect Dis 2016;6(2): 74-7

journal of microbiology and infectious diseases

Can miliary tuberculosis be an indicator for tuberculous meningitis? Evaluation of the twenty-five adult cases with meningitis accompanied by miliary tuberculosis