Table 1.
Baseline characteristics and details of meningitis in 10 patients coinfected with HIV and TB.
Patient | Age, years | Gender | SAPiT arm | CD4+ cell count, cells/mm3 | First AIDS defining condition | Previous TB | Previous meningitis | Aetiology of meningitis | Recurrent Meningitisa (time from first episode, days) | ART | Presenting clinical features | Outcome |
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1 | 31 | F | Early | 65 | Yes | Yes | No | Cryptococcal | No | Yes | Headache, neck stiffness, photophobia | Recovered |
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2 | 30 | F | Postcontinuation | 298 | Yes | No | No | Cryptococcal | No | Yes | Headache, neck stiffness, vomiting, photophobia | Recovered |
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3 | 45 | F | Early | 2 | Yes | Yes | No | Cryptococcal & acute bacterial | No | Yes | Headache, neck stiffness, photophobia, confusion | Recovered |
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Cryptococcal | Yes— cryptococcal (39 days) | Yes | Cutaneous cryptococcal lesions | Recovered | ||||||||
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4 | 48 | M | Postcontinuation | 54 | Yes | No | No | Cryptococcal | No | No | Headache, fever | Recovered, death from cerebral glioma |
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5 | 33 | M | Postintensive | 12 | Yes | No | No | Cryptococcal | No | No | Headache, neck stiffness, vomiting | Recovered |
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Cryptococcal | Yes—cryptococcal (40 days) | No | Headache, neck stiffness vomiting | Recovered, death from lung abscess | ||||||||
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6 | 33 | M | Postcontinuation | 2 | Yes | Yes | No | Cryptococcal | No | Yes | Headache, neck stiffness, confusion | Death |
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7 | 24 | M | Postintensive | 18 | Yes | No | No | Cryptococcal | No | No | Headache, neck stiffness, vomiting | Recovered |
Cryptococcal | Yes—cryptococcal (126 days) | Yes | Headache, neck stiffness, vomiting, fever | Recovered with neurological impairment | ||||||||
Cryptococcal & Tuberculous | Yes—Tuberculous and cryptococcal (188 days) | Yes | Headache, neck stiffness, fever, focal signs | Death | ||||||||
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8 | 34 | M | Early | 8 | Yes | No | No | Tuberculous | No | No | Headache, neck stiffness, photophobia, loss of appetite | Recovered, death from pneumonia |
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9 | 33 | M | Early | 7 | No | Yes | Yes | Tuberculous | No | Yes | Headache, neck stiffness, confusion, focal signs | Death |
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10 | 26 | F | Postcontinuation | 14 | No | Yes | Yes | Tuberculous | No | Yes | Neck stiffness, confusion | Death |
aRecurrent meningitis refers to cases of meningitis that occurred during the follow-up period.
Note. All cases of cryptococcal meningitis were confirmed by a positive India ink stain or positive cryptococcal antigen test on CSF. The diagnoses of tuberculous meningitis were based on clinical features and CSF abnormalities in keeping with our case definition. Mycobacterium tuberculosis was not isolated in the CSF in any of these cases.