| Autor: |
D. W. A. Shantha, D. Yasaratne, D. M. P. U. K. Ralapanawa, T. Jayalath, S. Abeyagunawardena, D. M. P. K. Dissanayake, W. J. B. S. M. S. Jayawardana |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Sri Lanka Journal of Medicine, Vol 30, Iss 1, Pp 132-137 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2579-1990 |
| DOI: |
10.4038/sljm.v30i1.264 |
| Popis: |
Tuberculosis is known as the great masquerader for its ability to present atypically. We report a case of a young man presented with progressive tuberculous meningitis and subsequently developed paraplegia due to thoracic cord myelitis, where diagnosis was confirmed bacteriologically. We highlight the presence of acute gastric dilatation as a warning sign of thoracic cord involvement and the place for CSF examination and spinal imaging in arriving at a clinical diagnosis, as treatment needs to start without delay to avoid permanent sequelae. Patient showed a good response to a combined approach of anti-tuberculosis treatment, systemic steroids and intravenous immunoglobulin. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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