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Central Nervous System Tuberculosis in Immunocompromised Patients: A Case Report Emphasizing Immune Status and Early Recognition and Treatment.
Cureus
January 2024
Internal Medicine Department, Hospital Vila Franca Xira, Vila Franca Xira, PRT.
Article Synopsis
- Tuberculosis (TB) is a significant global health issue, particularly impacting immunocompromised patients like those with HIV, making them more susceptible to opportunistic infections and poor outcomes, especially with central nervous system (CNS) involvement.
- CNS TB can present as tuberculous meningitis (TBM), localized tuberculomas, or spinal infections, with TBM being the most common and serious form, leading to high morbidity and mortality.
- A case describes a 61-year-old male with HIV presenting with altered consciousness and other neurological symptoms; testing revealed abnormal cerebrospinal fluid and a positive TB test, prompting immediate treatment with antituberculous medications and steroids due to his deteriorating condition.
Subarachnoid haemorrhage or traumatic lumbar puncture. Differentiation by cerebrospinal fluid parameters in a multivariable approach.
Sci Rep
December 2023
Department of Neurology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Lumbar puncture (LP) is recommended in patients with thunderclap headache and negative computed tomography to rule out spontaneous subarachnoid haemorrhage (SAH). Blood contamination of cerebrospinal fluid (CSF) due to traumatic LP poses a diagnostic dilemma. Therefore, routine CSF parameters were investigated to distinguish between SAH and a traumatic LP.
View Article and Find Full Text PDFPredictive models for and infection in pathologically or serologically proved eosinophilic meningitis.
Am J Transl Res
September 2021
Department of Medicine, Faculty of Medicine, Khon Kaen University Khon Kaen 40002, Thailand.
Objective: The two most common causes of eosinophilic meningitis (EOM) are the parasites: and . This study aimed to evaluate whether clinical factors can predict either neuroangiostrongyliasis or gnathostomiasis in EOM patients.
Materials And Methods: We included reports of patients with eosinophils in the CSF and either serological or pathological diagnosis of neuroangiostrongyliasis or gnathostomiasis published in 2014 or earlier and available on PubMed.
Intermittent oculomotor nerve paresis and hollow appearance on MRI manifested by pituitary adenoma.
Radiol Case Rep
November 2019
Department of Neurological Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba 279-0021, Japan.
A 71-year-old man had sustained intermittent ptosis and double vision for 2 weeks. Neurological examination found unilateral oculomotor nerve (CN III) paresis manifesting as limitations of gaze, ptosis, and mydriasis. Neither headache nor any other cranial neuropathy was noted.
View Article and Find Full Text PDFA Xanthochromic Cause of Headache and Neck Pain.
Headache
May 2019
Neuroradiology Division, Department of Radiology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
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