HIV In Children
 
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Specialist Answers
Question
What is the role of steroids in tuberculous meningitis ? How many days it should be given?
Answer
Role of steroids remains controversial in the treatment of TBM. Steroids are associated with lesser mortality in Stage 3 TBM. Steroids are useful to decrease intracranial tension and also for decreasing perilesional edema in patients with tuberculomas. Enhanced resolution of the basal exudate may also occur. Duration is usually for 1 month (2mg/kg) followed by tapering gradually. In cases of paradoxical tuberculomas,duration of steroids may be longer.
 
 
 
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Should all patients with viral respiratory infection be treated with oseltamivir in current epidemic of H1N1 influenza_?
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