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http://repository.kln.ac.lk/handle/123456789/26722
Title: | Disseminated tuberculosis presenting as meningitis and spondylodiscitis in an immunocompetent adult |
Authors: | Arumugam, J. de Silva, S. |
Keywords: | Disseminated tuberculosis Immunocompetent Spondylodiscitis Meningitis Miliary tuberculosis |
Issue Date: | 2023 |
Publisher: | Medknow Publications |
Citation: | Asian Pacific Journal of Tropical Medicine.2023;16(6):284-286 |
Abstract: | Rationale: Disseminated tuberculosis involves the central nervous system in up to a third of cases. However, meningitis and spondylodiscitis due to miliary tuberculosis rarely occur together, particularly in the immuno-competent population. Patient concerns: A 37-year-old immunocompetent male presented with altered level of consciousness for one week and lower back pain with evening pyrexia for one month. Examination revealed spastic paraplegia and left hemiparesis. Diagnosis: Disseminated tuberculosis presenting with meningitis and spondylodiscitis. Interventions: Category I anti-tuberculous therapy with a tapering regimen of intravenous dexamethasone was administered. Outcomes: There was clinical improvement after nine months of treatment. Lessons: Tuberculosis may present with atypical clinical manifestations. Contrast enhanced computed tomography scan or magnetic resonance imaging combined with histopathological features, a high index of suspicion and clinical improvement with anti-tuberculous treatment can confirm the diagnosis in the absence of microbiological evidence, especially in extrapulmonary tuberculosis. |
Description: | Not Indexed |
URI: | http://repository.kln.ac.lk/handle/123456789/26722 |
ISSN: | 19957645 |
Appears in Collections: | Journal/Magazine Articles |
Files in This Item:
File | Description | Size | Format | |
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Disseminated_tuberculosis_presenting_as_meningitis.8.pdf | 578.58 kB | Adobe PDF | View/Open |
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