AI Article Synopsis
- - Tuberculous meningitis (TBM) is a severe form of tuberculosis that can lead to significant health issues if not diagnosed and treated promptly, which is highlighted in a case involving a 9-month-old girl with neurological symptoms.
- - Initially misdiagnosed with an ischemic stroke and treated accordingly, her ongoing health problems prompted further testing that ultimately revealed TBM.
- - The case emphasizes the need to consider TBM in young patients presenting with neurological issues, especially during the COVID-19 pandemic when symptoms may overlap with those of other viral infections.
Article Abstract
Tuberculous meningitis (TBM) is a serious form of TB disease that can result in high morbidity and mortality, particularly if there are delays in diagnosis and treatment. In this case report, a 9-month-old girl was admitted with persistent vomiting and focal seizures. On examination, she was found to have a right-side hemiparesis. Brain imaging showed intense nodular leptomeningeal enhancement, hydrocephalus, a hypolucent lesion in the left basal ganglia, arterial stenosis and vasculitis, and an old ischemic insult. The patient was initially diagnosed with an acute ischemic stroke and was treated with aspirin and antiepileptic drugs. The patient's condition failed to improve despite initial treatment, leading to further diagnostic procedures. The results uncovered a diagnosis of TBM. The case highlights the importance of considering TBM as a possible cause of neurological symptoms, especially during the coronavirus disease 2019 (COVID-19) pandemic where similar symptoms can be present in cases of neurological complications of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and multisystem inflammatory syndrome in children (MIS-C).
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11436272 | PMC |
| http://dx.doi.org/10.1155/2024/9586953 | DOI Listing |
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Article Synopsis
- - Tuberculous meningitis (TBM) is a severe form of tuberculosis that can lead to significant health issues if not diagnosed and treated promptly, which is highlighted in a case involving a 9-month-old girl with neurological symptoms.
- - Initially misdiagnosed with an ischemic stroke and treated accordingly, her ongoing health problems prompted further testing that ultimately revealed TBM.
- - The case emphasizes the need to consider TBM in young patients presenting with neurological issues, especially during the COVID-19 pandemic when symptoms may overlap with those of other viral infections.
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