Disseminated Tuberculosis with Neurotuberculosis Presenting as Status Epilepticus: A Case Report
Disseminated Tuberculosis (TB) results when the infection spreads though lymphohaematogenous route involving multiple organ systems. Irrespective of the availability of diagnostic modalities and treatment, it is usually diagnosed late increasing the mortality. Though, it usually occurs in immunocomp...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2022-10-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/16852/52973_CE[Ra1]_F(KR)_PF1(TW_SHU)_PFA(NC)_PN_(SS)_OM_PF2(RI_SS).pdf |
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| author | Sourya Acharya Samarth Shukla Aditi Goyal VS Irshad Charan Bagga |
| author_facet | Sourya Acharya Samarth Shukla Aditi Goyal VS Irshad Charan Bagga |
| author_sort | Sourya Acharya |
| collection | DOAJ |
| description | Disseminated Tuberculosis (TB) results when the infection spreads though lymphohaematogenous route involving multiple organ systems. Irrespective of the availability of diagnostic modalities and treatment, it is usually diagnosed late increasing the mortality. Though, it usually occurs in immunocompromised patients, yet, incidence of disseminated TB is rising in immunocompetent subjects. This case report describes a 48-year-old male who presented to the Emergency Department (ED) with status epilepticus. Investigations revealed neurotuberculosis along with generalised tubercular lymphadenopathy involving cervical, axillary, mediastinal and abdominal lymphnodes. Diagnosis was confirmed after Cerebrospinal Fluid (CSF) and lymphnode biopsy. He was started on first line antitubercular drugs and tapering dose of tab. Prednisolone over one month. He was discharged after two weeks of hospitalisation. At 15 days follow-up the patient was asymptomatic. |
| first_indexed | 2024-04-10T22:24:36Z |
| format | Article |
| id | doaj.art-cdf9e0fa33a547e3a59ec449efaca042 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T22:24:36Z |
| publishDate | 2022-10-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-cdf9e0fa33a547e3a59ec449efaca0422023-01-17T09:32:31ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-10-011610OD01OD0310.7860/JCDR/2022/52973.16852Disseminated Tuberculosis with Neurotuberculosis Presenting as Status Epilepticus: A Case ReportSourya Acharya0Samarth Shukla1Aditi Goyal2VS Irshad3Charan Bagga4Professor and Head, Department of Medicine, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.Professor, Department of Pathology, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.Resident, Department of Pathology, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.Resident, Department of Medicine, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.Resident, Department of Medicine, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.Disseminated Tuberculosis (TB) results when the infection spreads though lymphohaematogenous route involving multiple organ systems. Irrespective of the availability of diagnostic modalities and treatment, it is usually diagnosed late increasing the mortality. Though, it usually occurs in immunocompromised patients, yet, incidence of disseminated TB is rising in immunocompetent subjects. This case report describes a 48-year-old male who presented to the Emergency Department (ED) with status epilepticus. Investigations revealed neurotuberculosis along with generalised tubercular lymphadenopathy involving cervical, axillary, mediastinal and abdominal lymphnodes. Diagnosis was confirmed after Cerebrospinal Fluid (CSF) and lymphnode biopsy. He was started on first line antitubercular drugs and tapering dose of tab. Prednisolone over one month. He was discharged after two weeks of hospitalisation. At 15 days follow-up the patient was asymptomatic.https://jcdr.net/articles/PDF/16852/52973_CE[Ra1]_F(KR)_PF1(TW_SHU)_PFA(NC)_PN_(SS)_OM_PF2(RI_SS).pdfbiopsycerebrospinal fluidimmunocompetentlymph node |
| spellingShingle | Sourya Acharya Samarth Shukla Aditi Goyal VS Irshad Charan Bagga Disseminated Tuberculosis with Neurotuberculosis Presenting as Status Epilepticus: A Case Report Journal of Clinical and Diagnostic Research biopsy cerebrospinal fluid immunocompetent lymph node |
| title | Disseminated Tuberculosis with Neurotuberculosis Presenting as Status Epilepticus: A Case Report |
| title_full | Disseminated Tuberculosis with Neurotuberculosis Presenting as Status Epilepticus: A Case Report |
| title_fullStr | Disseminated Tuberculosis with Neurotuberculosis Presenting as Status Epilepticus: A Case Report |
| title_full_unstemmed | Disseminated Tuberculosis with Neurotuberculosis Presenting as Status Epilepticus: A Case Report |
| title_short | Disseminated Tuberculosis with Neurotuberculosis Presenting as Status Epilepticus: A Case Report |
| title_sort | disseminated tuberculosis with neurotuberculosis presenting as status epilepticus a case report |
| topic | biopsy cerebrospinal fluid immunocompetent lymph node |
| url | https://jcdr.net/articles/PDF/16852/52973_CE[Ra1]_F(KR)_PF1(TW_SHU)_PFA(NC)_PN_(SS)_OM_PF2(RI_SS).pdf |
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