AI Article Synopsis
- A middle-aged woman experienced chronic foot arthritis that led to a non-healing ulcer, which didn't respond to standard treatments.
- After developing neurological issues, she was treated with antitubercular medications that healed the ulcer but caused other serious complications, including cerebral tuberculoma and tuberculous meningitis.
- Despite efforts for diagnosis and treatment, she ultimately died from the complications and a likely hospital-acquired infection, underscoring the difficulties in identifying rare disease presentations in endemic regions.
Article Abstract
A middle-aged woman presents with chronic foot arthritis which progressed to a non-healing ulcer, which was unresponsive to conventional antibiotics and debridement. She then developed cerebral manifestations and was empirically treated with antitubercular medications which led to healing of the ulcer. Unfortunately, delays in initiating treatment resulted in development of other extrapulmonary tuberculosis complications such as cerebral tuberculoma with tuberculous meningitis. She was subsequently diagnosed with neurocysticercosis which continued to worsen during her hospital stay. She eventually succumbed to her illness due to the complications and a possible nosocomial infection. This case highlights the challenges with diagnosis of uncommon presentations of common diseases in an endemic area, leading to diagnostic delays and development of serious complications.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11334117 | PMC |
| http://dx.doi.org/10.1177/2050313X241274223 | DOI Listing |
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