Miliary Brain Tuberculomas and Meningitis: Tuberculosis Beyond the Lungs

  • Gisela Vasconcelos Internal Medicine Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal
  • Ligia Santos Internal Medicine Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal
  • Catarina Couto Internal Medicine Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal
  • Margarida Cruz Internal Medicine Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal
  • Alice Castro Internal Medicine Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal

Keywords

Miliary tuberculosis, meningitis, brain tuberculomas

Abstract

Tuberculosis remains one of the most common infectious diseases. Miliary presentation is a rare and possibly lethal form, resulting from massive lymphohaematogenous dissemination of Mycobacterium tuberculosis bacilli. The authors describe the case of a 47-year-old immunocompetent woman, diagnosed with miliary tuberculosis, with both lung and central nervous system involvement, who showed total recovery after starting anti-tuberculous drugs. The atypical neutrophilic-predominant pleocytosis and negative cerebrospinal fluid microbiological results made the diagnosis even more challenging. Since prognosis largely depends on timely treatment, recognition and prompt diagnosis is important. Thus, clinicians should be aware and treatment should be initiated as soon as the diagnosis is suspected.

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  • Published: 2020-09-14

    Issue: Vol 7 No 12 (view)

    Section: Articles

    How to cite:
    1.
    Vasconcelos G, Santos L, Couto C, Cruz M, Castro A. Miliary Brain Tuberculomas and Meningitis: Tuberculosis Beyond the Lungs. EJCRIM 2020;7 doi:10.12890/2020_001931.

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