Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services or go to an emergency department now for a severe or worsening headache with fever, confusion, unusual sleepiness, a seizure, fainting, new weakness, trouble speaking, repeated vomiting, or loss of consciousness.
A baby with poor feeding, unusual drowsiness, a bulging soft spot, or a seizure also needs emergency assessment.
Do not stop prescribed TB medicines without speaking with the treatment team unless emergency clinicians tell you to do so.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Do not wait for a routine appointment if TB meningitis is suspected or if neurological symptoms appear during TB treatment.
During treatment, seek urgent medical advice for:
Yellow skin or eyes, dark urine, or severe abdominal pain
New blurred vision, colour-vision changes, or loss of vision
Persistent vomiting that prevents medicines staying down
A widespread rash, facial swelling, or breathing difficulty
New confusion, weakness, seizures, or worsening headache
And for anyone, someone who:
has a fever with a stiff neck, a rash that does not fade under pressure, or severe headache
3
Does any of this apply?
Book an appointment
Routine follow-up is the place to discuss milder nausea, fatigue, appetite changes, medicine scheduling, rehabilitation progress, or help taking doses.
Every sign above is quoted from the sofidex article on Tuberculous meningitis. If you are not sure, err upward — it is always reasonable to be checked.