Archives of Clinical Infectious Diseases
Tuberculous brain abscess is an extremely rare manifestation of tuberculous involvement of the central nervous system. In countries such as India where tuberculosis is fairly common, few cases of tuberculous brain abscess have been reported.
The patient was an 8-year old boy presented with the diagnosis of cystic fibrosis and a history of tonic and clonic convulsions since 2 years ago with normal brain CT scan. Two months ago he became febrile and complained of severe headache that often awakened him up. Diagnosis of intracranial abscess was made clinically and the patient received ceftriaxon, amikacin and clindamycine; however, 2 weeks of treatment failed to show improvement. During craniotomy multiple cystic lesions and a mass of 938cm in frontoparietal area was found. After operation the patient developed severe hepatitis with elevated enzymes and bilirubin level due to anesthesia and anti- tuberculous treatment. Drugs were discontinued but fever persisted and he started a downhill course. While hepatitis was going to resolve, restarting antituberculous drugs flared up hepatitis and 3 days later he expired because of hepatic failure.
Meningitis is an entity of tuberculous infection in subjects living in countries of high burden tuberculosis thus, it should be kept in mind for suspicious subjects.
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Saleh M, Saeedi AA, Ali Pooran A. Brain Tuberculomas: A Case Report. Jundishapur J Microbiol. 2014;7(7):11252. doi: https://doi.org/10.5812/jjm.11252
Karimi A, Rafiei Tabatabaei S, Shiva F, Sayfikar M, Jafari M, et al. Tuberculous Pachymeningitis in a Young Child With Spinal Involvement: A Case Report. Arch Pediatr Infect Dis. 2013;1(1):. doi: https://doi.org/10.5812/pedinfect.5351
Abbasi F. Mycobacterium Tuberculosis and Cryptococcus Neoformans Co-Infection Meningitis in a Young Immuncompetent Woman. Arch Clin Infect Dis. 2011;6(2):. doi:
Metanat M, Aghaei M, Sharifi Mood B, Mirshekari H, Sepehri Rad N, et al. Pseudotumor Cerebri Due to Tuberculosis: A Case Report. Int J Infect. 2015;2(4):e27054. doi: https://doi.org/10.17795/iji-27054
Afsharpaiman S, Tabatabaee P. Isolated Tuberculous Liver Abscesses in Down Syndrome. J Compr Ped. 2012;3(1):37-40. doi: https://doi.org/10.17795/compreped-5211
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