Table 4 Diagnostic sensitivity of the five urinary metabolic markers of TBM at specified cut-off concentrations.

From: The diagnostic potential of urine in paediatric patients undergoing initial treatment for tuberculous meningitis

Metabolite

Diagnostic criteria

Mild TBM

Severe TBM

1-Methylnicotinamide

Conc (mmol/mol cr)

 > 14

 > 14.45

Sensitivity %

100 (67.6–100)

91.3 (73–98.5)

3-Hydroxyisovaleric acid

Conc (mmol/mol cr)

 > 27.33

 > 27.41

Sensitivity %

75 (41–95.6)

95.7 (79–100)

5-Aminolevulinic acid

Conc (mmol/mol cr)

 > 47.89

 > 47.84

Sensitivity %

87.5 (53–99)

87 (68–95.5)

N-Acetylglutamine

Conc (mmol/mol cr)

 > 117.3

 > 127.5

Sensitivity %

100 (67.6–100)

95.7 (79–100)

Methanol

Conc (mmol/mol cr)

 > 29.46

 > 29.86

Sensitivity %

62.5 (30.5–95.6)

73.9 (53.5–87.5)

  1. The specificity for all was 97.5%, with a 95% confidence interval of 87%-100%