Tuberculous meningoencephalitis (TBM) is the most severe, life-threatening form of TB and usually carries a subacute or chronic form. Headache, vomiting, fever and neck rigidity are the most common complaints and findings.[3] Complaints of this case lasted for 10 days and, therefore, her disease was accepted as an acute/subacute form. On admission, there was no neurological deficit except confusion, but she was transferred to the ICU with comatose mental status on the second day. There were some factors known as predictors of poor outcome, including extreme ages, stage of illness and hydrocephalus[4–6] Hosoglu and colleagues[5] showed that drowsiness on admission is also an important predictor for neurological sequel. Confusion of the case on admission was considered as a clue for poor outcome according to this report, and neurological sequel developing in the subsequent days supported this knowledge.