Advancing diagnosis and treatment in people living with HIV and tuberculosis meningitis. Kimuda, S., Kasozi, D., Namombwe, S., Gakuru, J., Mugabi, T., Kagimu, E., Rutakingirwa, M. K, Kristoffer, L. E, Chow, F., Wasserman, S., Boulware, D. R, Cresswell, F. V, & Bahr, N. C Current HIV/AIDS Reports, 20(6):379–393, Springer, nov, 2023. ![Advancing diagnosis and treatment in people living with HIV and tuberculosis meningitis [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex Tuberculous meningitis (TBM) is the most severe form of tuberculosis. Inadequate diagnostic testing and treatment regimens adapted from pulmonary tuberculosis without consideration of the unique nature of TBM are among the potential drivers. This review focuses on the progress being made in relation to both diagnosis and treatment of TBM, emphasizing promising future directions. The molecular assay GeneXpert MTB/Rif Ultra has improved sensitivity but has inadequate negative predictive value to “rule-out” TBM. Evaluations of tests focused on the host response and bacterial components are ongoing. Clinical trials are in progress to explore the roles of rifampin, fluoroquinolones, linezolid, and adjunctive aspirin. Though diagnosis has improved, novel modalities are being explored to improve the rapid diagnosis of TBM. Multiple ongoing clinical trials may change current therapies for TBM in the near future.
@article{Kimuda2023,
abstract = {Tuberculous meningitis (TBM) is the most severe form of tuberculosis. Inadequate diagnostic testing and treatment regimens adapted from pulmonary tuberculosis without consideration of the unique nature of TBM are among the potential drivers. This review focuses on the progress being made in relation to both diagnosis and treatment of TBM, emphasizing promising future directions. The molecular assay GeneXpert MTB/Rif Ultra has improved sensitivity but has inadequate negative predictive value to “rule-out” TBM. Evaluations of tests focused on the host response and bacterial components are ongoing. Clinical trials are in progress to explore the roles of rifampin, fluoroquinolones, linezolid, and adjunctive aspirin. Though diagnosis has improved, novel modalities are being explored to improve the rapid diagnosis of TBM. Multiple ongoing clinical trials may change current therapies for TBM in the near future.},
author = {Kimuda, Sarah and Kasozi, Derrick and Namombwe, Suzan and Gakuru, Jane and Mugabi, Timothy and Kagimu, Enock and Rutakingirwa, Morris K and Kristoffer, Leon E and Chow, Felicia and Wasserman, Sean and Boulware, David R and Cresswell, Fiona V and Bahr, Nathan C},
doi = {10.1007/S11904-023-00678-6},
file = {:C$\backslash$:/Users/01462563/AppData/Local/Mendeley Ltd./Mendeley Desktop/Downloaded/Kimuda et al. - 2023 - Advancing diagnosis and treatment in people living with HIV and tuberculosis meningitis.pdf:pdf},
isbn = {0123456789},
issn = {1548-3576},
journal = {Current HIV/AIDS Reports},
keywords = {Medicine/Public Health,OA,OA{\_}PMC,TB,Tuberculosis,Tuberculous meningitis,fund{\_}ack,general,review},
mendeley-tags = {OA,OA{\_}PMC,fund{\_}ack,review},
month = {nov},
number = {6},
pages = {379--393},
pmid = {37947980},
publisher = {Springer},
title = {{Advancing diagnosis and treatment in people living with HIV and tuberculosis meningitis}},
url = {https://link.springer.com/article/10.1007/s11904-023-00678-6},
volume = {20},
year = {2023}
}
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