Table 2 Demographic profile and clinical features of culture-confirmed TBM patients with and without phenotypic drug resistance.

From: High rate of drug resistance among tuberculous meningitis cases in Shaanxi province, China

Variable

Drug resistanta

 = 12 (%)

Drug susceptible

N = 13 (%)

Total

N = 25 (%)

Median age; years (range)

26 (3–65)

27 (3–82)

26 (3–82)

Female

8 (66.7)

9 (69.2)

17 (68.0)

History

 Fever

9 (75.0)

10 (76.9)

19 (76.0)

 Headache

9 (75.0)

11 (84.6)

20 (80.0)

 Vomiting

2 (16.7)

5 (38.5)

7 (28.0)

 Seizures

2 (16.7)

2 (15.4)

4 (16.0)

 Previous TB treatment

4 (33.3)

4 (30.8)

8 (32.0)

MRC grading b

 Grade 1

2 (16.7)

2 (15.4)

4 (16.0)

 Grade 2a

2 (16.7)

1 (7.7)

3 (12.0)

 Grade 2b

6 (50.0)

6 (46.2)

12 (48.0)

 Grade 3

2 (16.7)

4 (30.8)

6 (24.0)

Imaging

 Chest X-ray suggestive of TB

10 (83.3)

9 (69.2)

19 (76.0)

 Hydrocephalus

5 (41.7)

6 (46.2)

11 (44.0)

 Basal meningeal enhancement

4 (33.3)

5 (38.5)

9 (36.0)

 Infarcts

2 (16.7)

4 (30.8)

6 (24.0)

CSF findings

 Total leukocyte count cells/μl; median (range)

225 (27–683)

101 (7–319)

143 (7–683)

 Lymphocytes >50%

6 (50.0)

8 (61.5)

14 (56.0)

 Protein mg/dl; median(range)

1.3 (0.2–3.9)

1.6 (0.9–3.8)

1.4 (0.2–3.9)

 Protein >1.0 mg/dl

7 (58.3)

10 (76.9)

17 (68.0)

 Glucose mmol/l; median(range)

1.5 (0.4–3.6)

1.6 (0.6–3.8)

1.5 (0.4–3.8)

 Glucose <2.2 mmol/l

10 (83.3)

12 (92.3)

22 (88.0)

 Death before hospital discharge

2 (16.7)

3 (23.1)

5 (20.0)

  1. TBM-tuberculous meningitis; TB-tuberculosis.
  2. aDrug resistant-phenotypic resistance against any TB drug tested (isoniazid, rifampin, ethambutol, streptomycin, kanamycin, amikacin, capreomycin, levofloxacin, moxifloxacin, p-aminosalicylic acid, prothionamide).
  3. bBritish Medical Research council disease severity grade17; Grade 1, Glasgow Coma Scale (GCS) of 15 without focal neurologic signs; Grade 2, GCS 11–14 with a) no focal neurological signs and b) with focal neurological signs; Grade 3, GCS ≤10 with or without focal neurological deficit.