A rare rapidly progressive presentation of tuberculous meningitis

Tubercular Meningitis (TBM) usually presents as a sub-acute to chronic illness, with duration of symptoms ranging from weeks to months before clinical presentation. The course of disease is divided into 3 clinical stages- the stage of prodrome, phase of neurological symptoms and paretic stage, which usually progresses gradually over a period. Here we report an unusual case of TB meningitis in young female, which progressed rapidly over a period of 7-10 days from symptom onset, without any prodromal features or previous evidence of Koch’s, to reach a non-salvageable stage despite all the available diagnostic and therapeutic modalities.
 

Keywords: Tubercular Meningitis, Dexamethasone, Thalidomide.