Tuberculous meningitis with stroke: A case report of diagnostic dilemma and therapeutic triumph
Tuberculous Meningitis (TBM) is a rare manifestation of Mycobacterium tuberculosis infection affecting the meninges. We present a case of a 40-year-old male initially presenting with neurological deficits mimicking ischemic stroke. Despite classic signs, including fever, headache, and neck stiffness...
| Main Authors: | , , , , |
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| Formato: | Artigo |
| Idioma: | English |
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Elsevier
2024-05-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Acceso en liña: | http://www.sciencedirect.com/science/article/pii/S1930043324000736 |
| _version_ | 1827321785393086464 |
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| author | Shailendra Katwal, MD Anjila Thapa, MBBS Aayush Adhikari, MBBS Pratik Baral, MBBS Mukhtar Alam Ansari, PhD |
| author_facet | Shailendra Katwal, MD Anjila Thapa, MBBS Aayush Adhikari, MBBS Pratik Baral, MBBS Mukhtar Alam Ansari, PhD |
| author_sort | Shailendra Katwal, MD |
| collection | DOAJ |
| description | Tuberculous Meningitis (TBM) is a rare manifestation of Mycobacterium tuberculosis infection affecting the meninges. We present a case of a 40-year-old male initially presenting with neurological deficits mimicking ischemic stroke. Despite classic signs, including fever, headache, and neck stiffness, TBM was initially overlooked, leading to delayed treatment. Comprehensive assessment, imaging findings, and characteristic cerebrospinal fluid findings, confirming TBM with tubercular stroke. The patient responded positively to antitubercular therapy and steroids. This case underscores the diagnostic challenges of TBM, emphasizing the need for a broad differential diagnosis, particularly in regions with a high tuberculosis prevalence. Recognition of atypical presentations is crucial for timely intervention and improved outcomes. |
| first_indexed | 2024-03-07T22:01:39Z |
| format | Article |
| id | doaj.art-f3bf330259644e14af53ff48b517f454 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-25T01:13:10Z |
| publishDate | 2024-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-f3bf330259644e14af53ff48b517f4542024-03-10T05:11:48ZengElsevierRadiology Case Reports1930-04332024-05-0119518471850Tuberculous meningitis with stroke: A case report of diagnostic dilemma and therapeutic triumphShailendra Katwal, MD0Anjila Thapa, MBBS1Aayush Adhikari, MBBS2Pratik Baral, MBBS3Mukhtar Alam Ansari, PhD4Department of Radiology, Dadeldhura Subregional Hospital, Dadeldhura, Nepal; Corresponding author.Kharanitar Primary Healthcare Center, Nuwakot, NepalManang Hospital, Chame, Manang, NepalInstitute of Medicine, Tribhuwan University Teaching Hospital, Kathmandu, NepalNational Medical College, Birgunj, NepalTuberculous Meningitis (TBM) is a rare manifestation of Mycobacterium tuberculosis infection affecting the meninges. We present a case of a 40-year-old male initially presenting with neurological deficits mimicking ischemic stroke. Despite classic signs, including fever, headache, and neck stiffness, TBM was initially overlooked, leading to delayed treatment. Comprehensive assessment, imaging findings, and characteristic cerebrospinal fluid findings, confirming TBM with tubercular stroke. The patient responded positively to antitubercular therapy and steroids. This case underscores the diagnostic challenges of TBM, emphasizing the need for a broad differential diagnosis, particularly in regions with a high tuberculosis prevalence. Recognition of atypical presentations is crucial for timely intervention and improved outcomes.http://www.sciencedirect.com/science/article/pii/S1930043324000736Tuberculous meningitisMycobacterium tuberculosisTubercular strokeAtypical presentation |
| spellingShingle | Shailendra Katwal, MD Anjila Thapa, MBBS Aayush Adhikari, MBBS Pratik Baral, MBBS Mukhtar Alam Ansari, PhD Tuberculous meningitis with stroke: A case report of diagnostic dilemma and therapeutic triumph Radiology Case Reports Tuberculous meningitis Mycobacterium tuberculosis Tubercular stroke Atypical presentation |
| title | Tuberculous meningitis with stroke: A case report of diagnostic dilemma and therapeutic triumph |
| title_full | Tuberculous meningitis with stroke: A case report of diagnostic dilemma and therapeutic triumph |
| title_fullStr | Tuberculous meningitis with stroke: A case report of diagnostic dilemma and therapeutic triumph |
| title_full_unstemmed | Tuberculous meningitis with stroke: A case report of diagnostic dilemma and therapeutic triumph |
| title_short | Tuberculous meningitis with stroke: A case report of diagnostic dilemma and therapeutic triumph |
| title_sort | tuberculous meningitis with stroke a case report of diagnostic dilemma and therapeutic triumph |
| topic | Tuberculous meningitis Mycobacterium tuberculosis Tubercular stroke Atypical presentation |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324000736 |
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