We don’t have all the details of this sad case, but it almost certainly WAS meningitis.

TB meningitis is an uncommon type in the UK, typically in adults whose immune system is compromised – like this student who was on steroids for another illness. It would not therefore be the first cause to be suspected.

Diagnosis is also difficult because, as here, it does not come on suddenly like other forms of meningitis. The infection usually begins elsewhere – the lungs – and travels to the meninges ( covering the brain ) in the bloodstream. TB meningitis is more severe than other types and requires many months of treatment.

In countries like the Philippines where TB is commoner, most cases occur in young children.

What are the “ take home “ messages ?

• Headaches are VERY COMMON, and usually not serious. ( http://www.nhs.uk/conditions/headach...roduction.aspx
).


• If you feel unwell between headaches, they’re not relieved by painkillers, and the pain is very severe, see a doctor – if necessary at hospital.

• “ Social media “, such as Twitter and facebook, are used effectively and safely by millions – but don’t rely on them alone if you’re unwell.


• It’s the festive season and members would probably not wish to read this thread. However, it’s a reminder that people can fall ill at ANY time of year – make sure your loved ones / neighbours are OK !

• Once again, my best wishes to ALL for a good Christmas and New Year .