Miliary tuberculosis with meningovascular involvement
The case of a 20-year-old male patient is presented, with an illness of one week characterized by asthenia, hyporexia, nausea, vomiting, neck stiffness, intermittent headache of intensity 9/10, fever quantified at 38.5. °C, scant dry cough, weight loss and left hemiparesis without loss of consciousn...
| Authors: | , , , , |
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| Format: | article |
| Status: | Published version |
| Publication Date: | 2023 |
| Country: | Perú |
| Institution: | Sociedad Peruana de Medicina Interna |
| Repository: | Revista de la Sociedad Peruana de Medicina Interna |
| Language: | Spanish |
| OAI Identifier: | oai:medicinainterna.net.pe:article/781 |
| Online Access: | https://revistamedicinainterna.net/index.php/spmi/article/view/781 |
| Access Level: | Open access |
| Keyword: | Tuberculosis miliar Tuberculosis delsistema nervioso central uberculosis resistente a múltiples drogas milliary tuberculosis Central nervous system tuberculosis Multidrug-resistant tuberculosis |
| Summary: | The case of a 20-year-old male patient is presented, with an illness of one week characterized by asthenia, hyporexia, nausea, vomiting, neck stiffness, intermittent headache of intensity 9/10, fever quantified at 38.5. °C, scant dry cough, weight loss and left hemiparesis without loss of consciousness. Serological tests, including HIV, were negative. The spinal fluid showed pleocytosis with a predominance of mononuclear cells, hyperproteinorrachia and hypoglycorrhachia, with a positive GeneXpert MTB/RIF test for M. tuberculosis resistant to rifampicin, in addition to a positive sputum smear for the same germ. The images showed a miliary pattern and vascular compromise (bilateral hypodensities at the level of the basal ganglia and internal capsule). He was treated as multidrug-resistant systemic tuberculosis with a favorable outcome. |
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