Tuberculous meningitis with acellular cerebrospinal fluid in AIDS patients

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Abstract
To describe the clinical manifestations of tuberculous meningitis in HIV-positive patients with acellular cerebrospinal fluid (CSF). Retrospective analysis of case reports. Four HIV-positive patients with acellular CSF and tuberculous meningitis are reported. Clinical presentation did not indicate meningeal infection in three of the four cases, and CSF tests were unusual in all cases. Two patients were diagnosed only after death. Acellular CSF may obstruct the diagnosis of tuberculous meningitis in AIDS patients.

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