What are the Treatment Options for Tuberculous Meningitis in Children?
Early and aggressive treatment is crucial for TBM. The standard treatment regimen includes:
- Antituberculous Therapy (ATT): A combination of first-line antituberculosis drugs such as isoniazid, rifampicin, pyrazinamide, and ethambutol or streptomycin for an initial intensive phase, followed by a continuation phase with isoniazid and rifampicin. - Steroids: Corticosteroids like dexamethasone or prednisone are often administered to reduce inflammation and improve outcomes. - Supportive Care: Managing complications such as hydrocephalus, seizures, and electrolyte imbalances is vital.
