Do you still recommend adjunctive corticosteroids for tuberculous meningitis in light of more recent data showing heterogeneity in clinical outcomes?

Though there is some disagreement in study results, a number of randomized trials and one meta-analysis support the benefit of mortality when steroids are used as adjunctive therapy for tuberculous meningitis. The use of steroids continues to be the recommendation of the WHO. In most situations, the...

Despite conflicting opinions, I still believe that steroids are beneficial in conjunction with TB meningitis therapy.