Miliary brain tuberculosis in an infant.

Autor: Duc LA; Departement of Radiology, Thai Nguyen Intenational Hospital, Thai Nguyen, Vietnam.; Departement of Radiology, Thai Nguyen Medical and Pharmacy University, Thai Nguyen, Vietnam., Ngoc DV; Department of Medical Imaging Technology, VNU University of Medicine and Pharmacy, Hanoi, Vietnam.; Departement of Radiology, E hospital, Hanoi, Vietnam., Trung NN; Department of Radiology, Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Sang NV; Departement of Radiology, Thai Nguyen Medical and Pharmacy University, Thai Nguyen, Vietnam.; Departement of Radiology, E hospital, Hanoi, Vietnam., Ninh TP; Department of Radiology, National Hospital of Pediatrics, Hanoi, Vietnam., Giang TV; Department of Radiology, Ha Noi Medical University, Hanoi, Vietnam., Tra My TT; Department of Radiology, Ha Noi Medical University, Hanoi, Vietnam., Hoa T; Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam., Duc NM; Department of Radiology, Ha Noi Medical University, Hanoi, Vietnam.; Department of Radiology, Children's Hospital 2, Ho Chi Minh City, Vietnam.; Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
Jazyk: angličtina
Zdroj: Radiology case reports [Radiol Case Rep] 2021 Aug 01; Vol. 16 (10), pp. 2882-2885. Date of Electronic Publication: 2021 Aug 01 (Print Publication: 2021).
DOI: 10.1016/j.radcr.2021.07.005
Abstrakt: Tuberculosis remains prevalent in developing countries. Central nervous system tuberculosis often occurs secondary to pulmonary tuberculosis, transmitted through the bloodstream, and has a high mortality rate. Meningitis is the most common presentation of central nervous system tuberculosis, followed by tuberculoma, tuberculous brain abscess, and miliary tuberculosis. In this report, we present a case of miliary tuberculosis in a 3 month-old boy. The patient had a fever and was breathless for 1 month. The patient appeared cyanotic, experienced a seizure, and became comatose. Chest computed tomography scan suggested a pulmonary miliary tuberculosis abscess in the right lung and mediastinal lymph node tuberculosis. Brain magnetic resonance imaging showed the lesions were homogeneously enhancing tiny 2-3 mm nodules characteristic of miliary TB. Polymerase chain reaction of the cerebrospinal fluid and sputum samples confirmed tuberculosis. The patient died 1 month after diagnosis.
(© 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze: MEDLINE