Central Nervous System Tuberculosis With Shower Like Pattern of Intracranial Tuberculomas in an Immunocompetent Patient
| Autor: | Saeed Arif, Shaheer Arif, Khurram Haq Nawaz, Atiq-Ur-Rehman Slehria, Ghulam Yousaf |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pathology
medicine.medical_specialty Tuberculosis tuberculoma Central nervous system Thalamus central nervous system tuberculosis 030204 cardiovascular system & hematology Tuberculous meningitis Midbrain 03 medical and health sciences 0302 clinical medicine Medicine shower like pattern medicine.diagnostic_test business.industry General Engineering Magnetic resonance imaging immunocompetent patient medicine.disease Pons ring enhancement medicine.anatomical_structure Neurology tuberculous meningitis Tuberculoma business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Central nervous system tuberculosis (CNS TB), though comparatively uncommon as compared to other forms of extrapulmonary tuberculosis (TB), results in high morbidity and mortality. The symptoms are non-specific and of a progressive nature resulting in delayed diagnosis. We present a case of CNS TB that presented two months after the onset of symptoms. The patient's condition reached the point of being bedbound. On investigation, the widespread involvement of the brain with shower-like pattern of ring enhancing tuberculomas and associated tuberculous meningitis was found. This was a surprising finding considering the patient was immunocompetent. Contrast-enhanced magnetic resonance imaging showed lesions in midbrain, pons, medulla, thalamus, bilateral cerebellar hemispheres and bilateral cerebral hemispheres. Upon treatment initiation the patient responded well with resolution of all lesions. |
| Databáze: | OpenAIRE |
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