Tuberculous Meningitis: The Important Role of Imaging

Tuberculous meningitis is the most severe form of tuberculosis and the diagnosis continues to be challenging for clinicians. Indeed, many cases of Tuberculous meningitis cannot be confirmed based on clinical findings and laboratory techniques are largely insensitive or slow. Clinical presentation c...

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Autores principales:	Ana Pereira Lemos, Andreia Duarte Constante, Carla Conceição, José Pedro Vieira, Maria João Brito
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Portuguesa de Pediatria 2021
Materias:	Pediatrics RJ1-570 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/be7a2769744f4dcc9f55e02aac70dbc0
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spelling	oai:doaj.org-article:be7a2769744f4dcc9f55e02aac70dbc02021-11-04T15:21:19ZTuberculous Meningitis: The Important Role of Imaging2184-33332184-4453https://doaj.org/article/be7a2769744f4dcc9f55e02aac70dbc02021-11-01T00:00:00Zhttps://pjp.spp.pt/article/view/21668https://doaj.org/toc/2184-3333https://doaj.org/toc/2184-4453 Tuberculous meningitis is the most severe form of tuberculosis and the diagnosis continues to be challenging for clinicians. Indeed, many cases of Tuberculous meningitis cannot be confirmed based on clinical findings and laboratory techniques are largely insensitive or slow. Clinical presentation can be nonspecific and suggest alternative conditions. The difficulty in diagnosis often leads to a delay in treatment and subsequent mortality. We present a case of a four-year-old indian girl with meningitis that presented a clinical deterioration with neurological signs while under antibiotics. The epidemiological history and the neuroimaging findings of incipient hydrocephalus, infarcts and probable tuberculomas, were essential to evoke the diagnosis of Tuberculous meningitis. Diagnosis of Tuberculous meningitis is difficult as it can clinically present similarly to other forms of meningitis. The recognition of this entity involves a high index of suspicion based on the previous referred findings and is essential in terms of morbidity and mortality. Ana Pereira LemosAndreia Duarte ConstanteCarla ConceiçãoJosé Pedro VieiraMaria João BritoSociedade Portuguesa de PediatriaarticlePediatricsRJ1-570Medicine (General)R5-920ENPTPortuguese Journal of Pediatrics , Vol 52, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Pediatrics RJ1-570 Medicine (General) R5-920
spellingShingle	Pediatrics RJ1-570 Medicine (General) R5-920 Ana Pereira Lemos Andreia Duarte Constante Carla Conceição José Pedro Vieira Maria João Brito Tuberculous Meningitis: The Important Role of Imaging
description	Tuberculous meningitis is the most severe form of tuberculosis and the diagnosis continues to be challenging for clinicians. Indeed, many cases of Tuberculous meningitis cannot be confirmed based on clinical findings and laboratory techniques are largely insensitive or slow. Clinical presentation can be nonspecific and suggest alternative conditions. The difficulty in diagnosis often leads to a delay in treatment and subsequent mortality. We present a case of a four-year-old indian girl with meningitis that presented a clinical deterioration with neurological signs while under antibiotics. The epidemiological history and the neuroimaging findings of incipient hydrocephalus, infarcts and probable tuberculomas, were essential to evoke the diagnosis of Tuberculous meningitis. Diagnosis of Tuberculous meningitis is difficult as it can clinically present similarly to other forms of meningitis. The recognition of this entity involves a high index of suspicion based on the previous referred findings and is essential in terms of morbidity and mortality.
format	article
author	Ana Pereira Lemos Andreia Duarte Constante Carla Conceição José Pedro Vieira Maria João Brito
author_facet	Ana Pereira Lemos Andreia Duarte Constante Carla Conceição José Pedro Vieira Maria João Brito
author_sort	Ana Pereira Lemos
title	Tuberculous Meningitis: The Important Role of Imaging
title_short	Tuberculous Meningitis: The Important Role of Imaging
title_full	Tuberculous Meningitis: The Important Role of Imaging
title_fullStr	Tuberculous Meningitis: The Important Role of Imaging
title_full_unstemmed	Tuberculous Meningitis: The Important Role of Imaging
title_sort	tuberculous meningitis: the important role of imaging
publisher	Sociedade Portuguesa de Pediatria
publishDate	2021
url	https://doaj.org/article/be7a2769744f4dcc9f55e02aac70dbc0
work_keys_str_mv	AT anapereiralemos tuberculousmeningitistheimportantroleofimaging AT andreiaduarteconstante tuberculousmeningitistheimportantroleofimaging AT carlaconceicao tuberculousmeningitistheimportantroleofimaging AT josepedrovieira tuberculousmeningitistheimportantroleofimaging AT mariajoaobrito tuberculousmeningitistheimportantroleofimaging
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Tuberculous Meningitis: The Important Role of Imaging

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