A Rare Presentation of Central Nervous System Tuberculomas in an Immunocompetent Patient

Autor: Chang, Bryce K., Adlawan, Jacqueline, Fesenmeier, Samuel, Kaminskas, David, Carrazana, Enrique, Liow, Kore K.
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Hawaii J Health Soc Welf
Popis: The uncommon presentation of simultaneous brain and lung lesions in an immunocompetent adult patient with frequent travel to a mycobacterium tuberculosis (MTB) endemic area requires high clinical suspicion for central nervous system (CNS) MTB, as this disease often results in severe neurologic morbidity and mortality. Non-specific and subacute symptoms make the diagnosis of CNS MTB clinically challenging, and a workup with imaging and microbiological studies such as acid-fast bacilli staining, nucleic acid amplification testing, and tissue culture must not delay prompt treatment with anti-tuberculosis therapy. This case illustrates the complex challenges of medical diagnosis and multi-disciplinary decision-making involved in the workup of CNS MTB.
Databáze: OpenAIRE