| Autor: |
Chaudhry LA; Department of Medicine and Chest Diseases, Dammam Medical Complex (MOH), Dammam, Kingdom of Saudi Arabia. dr_liaqatali@hotmail.com, Ebtesam Ba-Essa, Al-Solaiman S |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP [J Coll Physicians Surg Pak] 2012 Jan; Vol. 22 (1), pp. 43-5. |
| DOI: |
01.2012/JCPSP.4345 |
| Abstrakt: |
Milliary Tuberculosis (TB) occurs through lymphohaematogenous dissemination of M. tuberculosis and paradoxical response (PR) is a recognized feature. Respiratory failure, choroid tubercles and brain tuberculomas are some of the complications. Brain tuberculomas mainly occur in the cerebrum, cerebellum, where as involvement of the brainstem is rare. A 31 years old female presented with history of ill health, easy fatigability, excessive sweating and fever of one month duration, dry cough for one week and shortness of breath for 3 days. Provisional diagnosis was disseminated TB complicated by hypoxemic respiratory failure and bilateral choroid tubercles. She was started on anti-TB treatment with adjuvant steroids. The initial response to treatment was remarkable but after about 3 weeks of anti-TB therapy, she suddenly deteriorated developing spastic ataxia. After exclusion of other possible causes she was successfully treated under the impression of having PR. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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